Provider Demographics
NPI:1760146146
Name:DAVIS-RAMA, TAMITHA MICHELLE (LICSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:TAMITHA
Middle Name:MICHELLE
Last Name:DAVIS-RAMA
Suffix:
Gender:F
Credentials:LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6811 KENILWORTH AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1318
Mailing Address - Country:US
Mailing Address - Phone:240-245-6854
Mailing Address - Fax:
Practice Address - Street 1:6811 KENILWORTH AVE STE 500
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1318
Practice Address - Country:US
Practice Address - Phone:240-245-6854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-22
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD093391041C0700X
VA09040139881041C0700X
DCLC3028751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty