Provider Demographics
NPI:1760039952
Name:CROWDER, RAMONTE
Entity Type:Individual
Prefix:
First Name:RAMONTE
Middle Name:
Last Name:CROWDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6910 KNIGHTHOOD LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-4801
Mailing Address - Country:US
Mailing Address - Phone:443-561-7048
Mailing Address - Fax:
Practice Address - Street 1:4421 FORBES BLVD STE E
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4384
Practice Address - Country:US
Practice Address - Phone:301-744-7381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-22
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD220361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical