Provider Demographics
NPI:1144230137
Name:OMINSKY, WENDY GAIL (LCSW-C)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:GAIL
Last Name:OMINSKY
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:GAIL
Other - Last Name:LEIBOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:9055 SHADY GROVE CT
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-1301
Mailing Address - Country:US
Mailing Address - Phone:301-330-0400
Mailing Address - Fax:301-948-4333
Practice Address - Street 1:9055 SHADY GROVE CT
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-1301
Practice Address - Country:US
Practice Address - Phone:301-330-0400
Practice Address - Fax:301-948-4333
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD079991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD28557-3128982OtherMAMSI/OC/MDIPA
DC23070015OtherBLUE CROSS BLUE SHIELD DC
MD521547086-2138928OtherCIGNA