Provider Demographics
NPI:1609383694
Name:ESPINAL, NANCY STACEY (LCSW-C)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:STACEY
Last Name:ESPINAL
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 1:604 HARDING DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-2009
Mailing Address - Country:US
Mailing Address - Phone:301-404-0327
Mailing Address - Fax:
Practice Address - Street 1:604 HARDING DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-2009
Practice Address - Country:US
Practice Address - Phone:301-404-0327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-29
Last Update Date:2017-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD202861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical