Provider Demographics
NPI:1609056910
Name:GOULD, HANNAH ELAINE (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:ELAINE
Last Name:GOULD
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1186
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20768-1186
Mailing Address - Country:US
Mailing Address - Phone:301-385-2913
Mailing Address - Fax:301-345-5148
Practice Address - Street 1:19S RIDGE RD
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-0710
Practice Address - Country:US
Practice Address - Phone:301-385-2913
Practice Address - Fax:301-345-5148
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD045111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical