Provider Demographics
NPI:1912368986
Name:YAZAR, OZLEM (MSW, LGSW)
Entity Type:Individual
Prefix:
First Name:OZLEM
Middle Name:
Last Name:YAZAR
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10400 CONNECTICUT AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-3944
Mailing Address - Country:US
Mailing Address - Phone:202-360-4787
Mailing Address - Fax:
Practice Address - Street 1:10400 CONNECTICUT AVE STE 500
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-3944
Practice Address - Country:US
Practice Address - Phone:202-360-4787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-17
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD212911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical