Provider Demographics
NPI:1689759110
Name:HIRSCHFELD, MARK (LCSW-C, BCD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:HIRSCHFELD
Suffix:
Gender:M
Credentials:LCSW-C, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 PRELUDE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-5041
Mailing Address - Country:US
Mailing Address - Phone:301-933-6182
Mailing Address - Fax:301-681-0331
Practice Address - Street 1:11102 VEIRS MILL ROAD
Practice Address - Street 2:SUITE # 707
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902
Practice Address - Country:US
Practice Address - Phone:301-933-6182
Practice Address - Fax:301-681-0331
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD026031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical