Provider Demographics
NPI:1659751220
Name:VANDERWAL, ESTHER (LCSW-C)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:VANDERWAL
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:PALMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1831
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-1831
Mailing Address - Country:US
Mailing Address - Phone:301-690-8008
Mailing Address - Fax:
Practice Address - Street 1:22655 WASHINGTON ST.
Practice Address - Street 2:P.O. BOX 1831
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650
Practice Address - Country:US
Practice Address - Phone:301-690-8008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1071851041C0700X
MD160471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical