Provider Demographics
NPI:1942981428
Name:SENATUS, NANCY (LGSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:SENATUS
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 HALLOWAY N
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3211
Mailing Address - Country:US
Mailing Address - Phone:301-357-2314
Mailing Address - Fax:
Practice Address - Street 1:3611 HALLOWAY N
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3211
Practice Address - Country:US
Practice Address - Phone:301-357-2314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG50083272104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker