Provider Demographics
NPI:1760843148
Name:THOMASSON, ANNA ADELE (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:ADELE
Last Name:THOMASSON
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MRS
Other - First Name:ANNA
Other - Middle Name:ADELE
Other - Last Name:ROSSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9324 GUE RD
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:MD
Mailing Address - Zip Code:20872-1027
Mailing Address - Country:US
Mailing Address - Phone:240-344-5919
Mailing Address - Fax:
Practice Address - Street 1:20300 SENECA MEADOWS PKWY
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-7010
Practice Address - Country:US
Practice Address - Phone:240-344-5919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-14
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD175331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical