Provider Demographics
NPI:1194853838
Name:KAPLAN, EVA G (LCSW-C, LICSW)
Entity Type:Individual
Prefix:MS
First Name:EVA
Middle Name:G
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11426 ROCKVILLE PIKE
Mailing Address - Street 2:SUITE 316
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:301-530-9425
Mailing Address - Fax:301-530-2842
Practice Address - Street 1:11426 ROCKVILLE PIKE
Practice Address - Street 2:SUITE 316
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3007
Practice Address - Country:US
Practice Address - Phone:301-530-9425
Practice Address - Fax:301-530-2842
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD04171101YM0800X
DCLC301410101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD48910001OtherBLUE CROSS BLUE SHEILD
MD77768576OtherUNITED BEHAVIOR HEALTH
MD636-447Medicare ID - Type UnspecifiedMEDICARE