Provider Demographics
NPI:1497817548
Name:UGEL, BROOKE BRALOVE (LCSW-C, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:BRALOVE
Last Name:UGEL
Suffix:
Gender:F
Credentials:LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4963 ELM ST STE 108
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2940
Mailing Address - Country:US
Mailing Address - Phone:202-256-4646
Mailing Address - Fax:
Practice Address - Street 1:4963 ELM ST STE 108
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2940
Practice Address - Country:US
Practice Address - Phone:202-256-4646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD122351041C0700X
DCLC500778421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical