Provider Demographics
NPI:1700532975
Name:TINDLE, DORANNA (LMSW)
Entity Type:Individual
Prefix:
First Name:DORANNA
Middle Name:
Last Name:TINDLE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:DORANNA
Other - Middle Name:
Other - Last Name:TINDLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:10512 MULLIKIN DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3844
Mailing Address - Country:US
Mailing Address - Phone:301-356-1354
Mailing Address - Fax:
Practice Address - Street 1:10512 MULLIKIN DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3844
Practice Address - Country:US
Practice Address - Phone:301-356-1354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-26
Last Update Date:2022-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD280881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical