Provider Demographics
NPI:1164694899
Name:HYMAN, BRENDA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:HYMAN
Suffix:
Gender:F
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 1:13600 SLOAN ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-2553
Mailing Address - Country:US
Mailing Address - Phone:301-996-3551
Mailing Address - Fax:301-460-4779
Practice Address - Street 1:6218 MONTROSE RD
Practice Address - Street 2:MONTROSE PROFESSIONAL PARK
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4119
Practice Address - Country:US
Practice Address - Phone:301-996-3551
Practice Address - Fax:301-460-4779
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD071381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical