Provider Demographics
NPI:1356025316
Name:IBRAHIM, MARWA MAGDY (MSW)
Entity type:Individual
Prefix:
First Name:MARWA
Middle Name:MAGDY
Last Name:IBRAHIM
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 MAPLE AVE E
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4718
Mailing Address - Country:US
Mailing Address - Phone:201-779-4183
Mailing Address - Fax:
Practice Address - Street 1:374 MAPLE AVE E
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4718
Practice Address - Country:US
Practice Address - Phone:201-779-4183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker