Provider Demographics
NPI:1073292868
Name:NAGELHOUT, CLAIRE PETERSON (LMSW)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:PETERSON
Last Name:NAGELHOUT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6926 WILSON LN
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-4924
Mailing Address - Country:US
Mailing Address - Phone:301-787-1301
Mailing Address - Fax:
Practice Address - Street 1:7200 WISCONSIN AVE STE 500
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4833
Practice Address - Country:US
Practice Address - Phone:703-829-6394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30351104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker