Provider Demographics
NPI:1366004590
Name:SALIMOVA, RAQUEL DARA SCHWARTZ (LMSW)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:DARA SCHWARTZ
Last Name:SALIMOVA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 HOLDCROFT LN
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2712
Mailing Address - Country:US
Mailing Address - Phone:240-506-5838
Mailing Address - Fax:
Practice Address - Street 1:11803 KIM PL
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3459
Practice Address - Country:US
Practice Address - Phone:301-401-8840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22185104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker