Provider Demographics
NPI:1366031007
Name:WOODS, TIMIZA (LISW)
Entity Type:Individual
Prefix:
First Name:TIMIZA
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:MRS
Other - First Name:TIMIZA
Other - Middle Name:
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:9411 FLOWER AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-3402
Mailing Address - Country:US
Mailing Address - Phone:202-460-7893
Mailing Address - Fax:
Practice Address - Street 1:9411 FLOWER AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-3402
Practice Address - Country:US
Practice Address - Phone:202-460-7893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-17
Last Update Date:2021-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLI50077765104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty