Provider Demographics
NPI:1326158718
Name:HERSHAFT, EUGENIE (MSW LCSWC ACSW)
Entity Type:Individual
Prefix:MRS
First Name:EUGENIE
Middle Name:
Last Name:HERSHAFT
Suffix:
Gender:F
Credentials:MSW LCSWC ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7401 WESTLAKE TERR
Mailing Address - Street 2:#1107
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817
Mailing Address - Country:US
Mailing Address - Phone:301-365-0740
Mailing Address - Fax:301-365-8029
Practice Address - Street 1:7401 WESTLAKE TERR
Practice Address - Street 2:#1107
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817
Practice Address - Country:US
Practice Address - Phone:301-365-0740
Practice Address - Fax:301-365-8029
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD030421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical