Provider Demographics
NPI:1467755967
Name:ESTHER C. ESTWICK, MD, INC
Entity Type:Organization
Organization Name:ESTHER C. ESTWICK, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:CECELIA
Authorized Official - Last Name:ESTWICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-459-8868
Mailing Address - Street 1:9470 ANNAPOLIS RD STE 305
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3022
Mailing Address - Country:US
Mailing Address - Phone:301-459-8868
Mailing Address - Fax:301-459-8869
Practice Address - Street 1:9470 ANNAPOLIS RD STE 305
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3022
Practice Address - Country:US
Practice Address - Phone:301-459-8868
Practice Address - Fax:301-459-8869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0018134261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
514250OtherMEDICARE OF WASHINGTON, DC
MD396821900Medicaid
MD003120OtherVALU OPTIONS
DC008182OtherBLUE CROSS BLUE SHIELD FEDERAL
MD2978OtherBLUE CROSS BLUE SHIELD OF MARYLAND
MD396821900Medicaid