Provider Demographics
NPI:1932325602
Name:VASCONES-GATSKI, MILAGROS CARIDAD (LCSW, LCSW-C, CSAC)
Entity Type:Individual
Prefix:MRS
First Name:MILAGROS
Middle Name:CARIDAD
Last Name:VASCONES-GATSKI
Suffix:
Gender:F
Credentials:LCSW, LCSW-C, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5003 EUCLID DR
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-1225
Mailing Address - Country:US
Mailing Address - Phone:301-946-1224
Mailing Address - Fax:
Practice Address - Street 1:6013 TOWER CT
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-3201
Practice Address - Country:US
Practice Address - Phone:301-775-7025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710000832101YA0400X
VA09040050671041C0700X
MD127111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD20BQMCOtherPREFERRED PROVIDER NETWOR
VA54270001OtherSELECT PREFERRED PROVIDER