Provider Demographics
NPI:1912193293
Name:GILES, KAREN ANITA (LCSW-C, LICSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANITA
Last Name:GILES
Suffix:
Gender:F
Credentials: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 1:13916 LAKE MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3813
Mailing Address - Country:US
Mailing Address - Phone:301-873-8741
Mailing Address - Fax:
Practice Address - Street 1:96 HARRY S TRUMAN DR
Practice Address - Street 2:SUITE 250
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-1000
Practice Address - Country:US
Practice Address - Phone:301-324-0600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD128951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical