Provider Demographics
NPI:1609968999
Name:SIEH, MOLIA (LCSWC)
Entity Type:Individual
Prefix:
First Name:MOLIA
Middle Name:
Last Name:SIEH
Suffix:
Gender:F
Credentials:LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 16TH ST
Mailing Address - Street 2:APT. 1011
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3240
Mailing Address - Country:US
Mailing Address - Phone:301-219-3320
Mailing Address - Fax:
Practice Address - Street 1:10230 NEW HAMPSHIRE AVE
Practice Address - Street 2:#201
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-1400
Practice Address - Country:US
Practice Address - Phone:301-219-3320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD064271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD258326OtherKAISER
MD806010-000OtherMAGELLAN
MDLV12/64629601OtherBLUESHIELDBLUECROSS
MD403397300Medicaid
DCF127-0024OtherBLUECROSSBLUESHIELD
MD2145020OtherMAMSI
MD363185OtherMHN
MD806010-000OtherMAGELLAN