Provider Demographics
NPI:1659094340
Name:MURAKAMI, SHIHO (LICSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:SHIHO
Middle Name:
Last Name:MURAKAMI
Suffix:
Gender:F
Credentials:LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18508 KILT TER
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1813
Mailing Address - Country:US
Mailing Address - Phone:240-401-7828
Mailing Address - Fax:
Practice Address - Street 1:18508 KILT TER
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1813
Practice Address - Country:US
Practice Address - Phone:240-401-7828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health