Provider Demographics
NPI:1194867408
Name:STRANGE, DORIS C (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:C
Last Name:STRANGE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10230 NEW HAMPSHIRE AV
Mailing Address - Street 2:#202
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1400
Mailing Address - Country:US
Mailing Address - Phone:301-431-2500
Mailing Address - Fax:301-439-5927
Practice Address - Street 1:10230 NEW HAMPSHIRE AV
Practice Address - Street 2:#202
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-1400
Practice Address - Country:US
Practice Address - Phone:301-431-2500
Practice Address - Fax:301-439-5927
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01066104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD118941700Medicaid
MD118941700Medicaid