Doctor Name: | MRS. MAXINE PENN |
NPI Number: | 1073705323 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 00387 |
Business Practice Address: | 11057 Seven Hill Ln Potomac, MD - 208543245 |
Business Phone Number: | 3013651677 |
Business Fax Number: | |
Mailing Address: | 11057 Seven Hill Ln, POTOMAC |
State: | MD |
Postal Code: | 208543245 |
Phone Number: | 3013651677 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2007 |
NPI Last Update Date: | 08/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 00387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |