Ilana Weisel, LCSW-C
Individual provider Active NPI Clinical Social Worker · Chillum, MD
NPI 1043760853 · NPPES record last updated Oct 5, 2016
Key facts
- NPI
- 1043760853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 07619 (MD)
- Practice address
- 5702 Sargent Rd
Chillum, MD 20782-2321 - Phone
- (301) 853-7370
- NPI assigned
- Oct 5, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07619 | MD | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 07619 | MD | Yes |
Addresses
Primary practice location
5702 Sargent Rd
Chillum, MD 20782-2321
Mailing address
5702 Sargent Rd
Chillum, MD 20782-2321
Phone (301) 853-7370
Other providers in Chillum, MD
All providers in Chillum, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.