Provider Demographics
NPI:1467446179
Name:MILOBSKY, JOANNE KAHN (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:KAHN
Last Name:MILOBSKY
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12004 STARVIEW CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2858
Mailing Address - Country:US
Mailing Address - Phone:301-424-0783
Mailing Address - Fax:301-294-3194
Practice Address - Street 1:3204 TOWER OAKS BLVD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4250
Practice Address - Country:US
Practice Address - Phone:301-770-3801
Practice Address - Fax:301-770-3802
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD083871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD491498Medicare ID - Type Unspecified