Provider Demographics
NPI:1336517408
Name:MCALPINE, THERESA DENDY
Entity Type:Individual
Prefix:MS
First Name:THERESA
Middle Name:DENDY
Last Name:MCALPINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5904 RAYBURN DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-3734
Mailing Address - Country:US
Mailing Address - Phone:301-773-3500
Mailing Address - Fax:
Practice Address - Street 1:5904 RAYBURN DR
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-3734
Practice Address - Country:US
Practice Address - Phone:301-773-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDG064211041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool