MEDICARE: SANDRA D. CHEW EDD, LCPC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PRC14724	DC
2	101YP2500X	Professional Counselor	LC2761	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902099732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA D. CHEW EDD, LCPC, LPC

Provider Business Mailing Address
First Line	:	14410 OLD MILL RD STE 101
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-2846
Country	:	US
Telephone Number	:	301-574-5500
Fax Number	:

Provider Business Practice Location Address
First Line	:	14410 OLD MILL RD STE 101
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-2846
Country	:	US
Telephone Number	:	301-574-5500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2007
Last Update Date	:	05/14/2020

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