Provider Demographics
NPI:1851714703
Name:TAREEN, SHAMYLA
Entity Type:Individual
Prefix:MS
First Name:SHAMYLA
Middle Name:
Last Name:TAREEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8730 GEORGIA AVE SUITE 414C
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3604
Mailing Address - Country:US
Mailing Address - Phone:240-644-2855
Mailing Address - Fax:
Practice Address - Street 1:8730 GEORGIA AVE SUITE 414C
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3604
Practice Address - Country:US
Practice Address - Phone:410-491-6316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-29
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD195071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical