Provider Demographics
NPI:1083620876
Name:STERMAN, DAYLE (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:DAYLE
Middle Name:
Last Name:STERMAN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:DALE
Other - Middle Name:
Other - Last Name:STERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2401 RESEARCH BLVD.
Mailing Address - Street 2:STE 115
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3215
Mailing Address - Country:US
Mailing Address - Phone:301-947-0333
Mailing Address - Fax:301-921-0259
Practice Address - Street 1:2401 RESEARCH BLVD STE 115
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3215
Practice Address - Country:US
Practice Address - Phone:301-947-0333
Practice Address - Fax:301-921-0259
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD39851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCEH50-0000OtherCAREFIRST
MDEH50-0000OtherCAREFIRST
MDST687861Medicare ID - Type UnspecifiedMEDICARE NUMBER
MD001599Medicare UPIN
MD218592Medicare UPIN
MD461252Medicare UPIN