Provider Demographics
NPI:1639402761
Name:WORKMAN, LABONE (LGSW)
Entity Type:Individual
Prefix:MR
First Name:LABONE
Middle Name:
Last Name:WORKMAN
Suffix:
Gender:M
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5354 SHERIFF RD
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-1308
Mailing Address - Country:US
Mailing Address - Phone:301-773-8201
Mailing Address - Fax:301-773-8203
Practice Address - Street 1:5354 SHERIFF RD
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-1308
Practice Address - Country:US
Practice Address - Phone:301-773-8201
Practice Address - Fax:301-773-8203
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDG12895104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker