Bushra N Queraishi
Individual provider Active NPI Social Worker · Boyds, MD
NPI 1669147658 · NPPES record last updated Aug 11, 2021
Key facts
- NPI
- 1669147658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 27514 (MD)
- Practice address
- 12705 Bright Spring Way
Boyds, MD 20841-4130 - Phone
- (240) 441-8703
- NPI assigned
- Aug 11, 2021
- 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 |
|---|---|---|---|
| 27514 | MD | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 27514 | MD | Yes |
Addresses
Primary practice location
12705 Bright Spring Way
Boyds, MD 20841-4130
Mailing address
12705 Bright Spring Way
Boyds, MD 20841-4130
Phone (240) 441-8703
Other providers in Boyds, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2021. 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.