Provider Demographics
NPI:1689219982
Name:HERNDON, FLORENCE MARIE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:MARIE
Last Name:HERNDON
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:MARIE
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4542 CAVALIER CT
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-4403
Mailing Address - Country:US
Mailing Address - Phone:301-638-3554
Mailing Address - Fax:301-638-3554
Practice Address - Street 1:601 POST OFFICE RD STE 2D
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-1912
Practice Address - Country:US
Practice Address - Phone:301-848-0461
Practice Address - Fax:301-885-0922
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-10
Last Update Date:2019-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD199141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical