Alyssa Castellano

Individual provider Active NPI Clinical Social Worker · Clarksburg, MD

NPI 1992193502 · NPPES record last updated Jan 5, 2015

Key facts

NPI
1992193502
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
14134 (MD)
Practice address
11885 Snowden Farm Pkwy
Clarksburg, MD 20871-9501
Phone
(240) 308-1958
NPI assigned
Jan 5, 2015
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)
Yes

State licenses

LicenseStateTypeSpecialty
14134MDMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14134 MD Yes

Addresses

Primary practice location

11885 Snowden Farm Pkwy
Clarksburg, MD 20871-9501

Mailing address

11885 Snowden Farm Pkwy
Clarksburg, MD 20871-9501
Phone (240) 308-1958

Other providers in Clarksburg, MD

All providers in Clarksburg, MD · Clinical Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.