Provider Demographics
NPI:1790976926
Name:WORK, MARY (LICSW, LCSW)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:WORK
Suffix:
Gender:F
Credentials:LICSW, LCSW
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:WORK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW, LCSW
Mailing Address - Street 1:1629 K ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1602
Mailing Address - Country:US
Mailing Address - Phone:202-222-8597
Mailing Address - Fax:202-331-3759
Practice Address - Street 1:1629 K ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1602
Practice Address - Country:US
Practice Address - Phone:202-222-8597
Practice Address - Fax:202-331-3759
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC50078711101YM0800X
VA094008215101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health