Provider Demographics
NPI:1023577434
Name:MAALOUF, DINA (LGSW)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:MAALOUF
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 CLIFTON ST NW # A
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-5282
Mailing Address - Country:US
Mailing Address - Phone:301-906-7615
Mailing Address - Fax:
Practice Address - Street 1:2000 P ST NW STE 410
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6922
Practice Address - Country:US
Practice Address - Phone:202-644-8904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-15
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG50082757104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty