Provider Demographics
NPI:1598088072
Name:BECKER, GILBERT C (MSW)
Entity Type:Individual
Prefix:MR
First Name:GILBERT
Middle Name:C
Last Name:BECKER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7205 45TH ST
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6032
Mailing Address - Country:US
Mailing Address - Phone:301-589-1073
Mailing Address - Fax:301-588-4882
Practice Address - Street 1:16220 FREDERICK ROAD
Practice Address - Street 2:#308
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20895
Practice Address - Country:US
Practice Address - Phone:301-840-1077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD025011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical