Provider Demographics
NPI:1396776035
Name:STOVICEK, HELEN L (MSW, LCSW, LICSW)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:L
Last Name:STOVICEK
Suffix:
Gender:F
Credentials:MSW, LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13002 FREELAND RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-3031
Mailing Address - Country:US
Mailing Address - Phone:301-962-8103
Mailing Address - Fax:
Practice Address - Street 1:13002 FREELAND RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-3031
Practice Address - Country:US
Practice Address - Phone:301-962-8103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD130761041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical