Provider Demographics
NPI:1336035096
Name:KNEBEL, THOMAS EDWARD (LMSW)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:EDWARD
Last Name:KNEBEL
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4213 75TH AVE
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2317
Mailing Address - Country:US
Mailing Address - Phone:443-944-2120
Mailing Address - Fax:443-944-2120
Practice Address - Street 1:10000 COLESVILLE RD STE 5
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-2335
Practice Address - Country:US
Practice Address - Phone:301-960-8960
Practice Address - Fax:301-960-8960
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD333531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical