Provider Demographics
NPI:1639623432
Name:BUCHEIMER, EMILY R (LCSW-C)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:R
Last Name:BUCHEIMER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:R
Other - Last Name:GUBISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGSW
Mailing Address - Street 1:9301 ANNAPOLIS RD STE 300
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3125
Mailing Address - Country:US
Mailing Address - Phone:240-731-6593
Mailing Address - Fax:301-459-9110
Practice Address - Street 1:20410 OBSERVATION DR STE 108
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-6419
Practice Address - Country:US
Practice Address - Phone:240-296-5920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21687104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker