Provider Demographics
NPI:1427356302
Name:HAMPTON, LAKEESHA CRYSTAL
Entity Type:Individual
Prefix:MRS
First Name:LAKEESHA
Middle Name:CRYSTAL
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LAKEESHA
Other - Middle Name:CRYSTAL
Other - Last Name:NEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGSW
Mailing Address - Street 1:12325 CHESTERTON DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1611
Mailing Address - Country:US
Mailing Address - Phone:240-305-7036
Mailing Address - Fax:
Practice Address - Street 1:1835 UNIVERSITY BLVD E
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-4600
Practice Address - Country:US
Practice Address - Phone:301-326-4356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDG118261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical