Provider Demographics
NPI:1679931208
Name:ALEJO, TOMAS III (LGSW)
Entity Type:Individual
Prefix:MR
First Name:TOMAS
Middle Name:
Last Name:ALEJO
Suffix:III
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 1:7300 CALHOUN PL STE 600
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20855-3701
Mailing Address - Country:US
Mailing Address - Phone:301-412-0999
Mailing Address - Fax:
Practice Address - Street 1:7300 CALHOUN PL STE 600
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-3701
Practice Address - Country:US
Practice Address - Phone:301-412-0999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21442104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker