Provider Demographics
NPI:1598920027
Name:BOYLE, KAMAKSHI SANKAR (MSW)
Entity Type:Individual
Prefix:MS
First Name:KAMAKSHI
Middle Name:SANKAR
Last Name:BOYLE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:SRIKAMAKSHI
Other - Middle Name:GODA
Other - Last Name:SANKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:2915 OLNEY SANDY SPRING RD STE B
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-3502
Mailing Address - Country:US
Mailing Address - Phone:301-570-7500
Mailing Address - Fax:301-570-7504
Practice Address - Street 1:2915 OLNEY SANDY SPRING RD STE B
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-3502
Practice Address - Country:US
Practice Address - Phone:301-570-7500
Practice Address - Fax:301-570-7504
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD134161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical