Provider Demographics
NPI:1033691860
Name:AKVA, DAVID (LCSW-C)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:AKVA
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 OLD VALLEY RD FL 2
Mailing Address - Street 2:
Mailing Address - City:STEVENSON
Mailing Address - State:MD
Mailing Address - Zip Code:21153-0670
Mailing Address - Country:US
Mailing Address - Phone:410-403-3326
Mailing Address - Fax:
Practice Address - Street 1:1925 OLD VALLEY RD FL 2
Practice Address - Street 2:
Practice Address - City:STEVENSON
Practice Address - State:MD
Practice Address - Zip Code:21153-0670
Practice Address - Country:US
Practice Address - Phone:410-403-3326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD239151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical