Provider Demographics
NPI:1174327639
Name:SKARZYNSKI, ALEX (LMSW, LGSW)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:SKARZYNSKI
Suffix:
Gender:M
Credentials:LMSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4405 E WEST HWY STE 408
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4535
Mailing Address - Country:US
Mailing Address - Phone:240-988-8044
Mailing Address - Fax:
Practice Address - Street 1:4405 E WEST HWY STE 408
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4535
Practice Address - Country:US
Practice Address - Phone:240-988-8044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG2000024351041C0700X
MD306401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical