Provider Demographics
NPI:1871838946
Name:DAVIS, GIANA M (LCSW, LCSW-C, LICSW)
Entity Type:Individual
Prefix:
First Name:GIANA
Middle Name:M
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LCSW, LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9702 OVERVIEW CT
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-3786
Mailing Address - Country:US
Mailing Address - Phone:301-693-6946
Mailing Address - Fax:240-844-7501
Practice Address - Street 1:10905 FORT WASHINGTON RD STE 400A
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5808
Practice Address - Country:US
Practice Address - Phone:301-693-6946
Practice Address - Fax:240-844-7501
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-30
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040103161041C0700X
DCLC500803561041C0700X
MD157061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty