Provider Demographics
NPI:1801818091
Name:LAMMERT, MARILYN HELEN (MSW)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:HELEN
Last Name:LAMMERT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5117 MANNING DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1226
Mailing Address - Country:US
Mailing Address - Phone:301-951-9645
Mailing Address - Fax:
Practice Address - Street 1:5117 MANNING DR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1226
Practice Address - Country:US
Practice Address - Phone:301-951-9645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD637735Medicare ID - Type Unspecified