Provider Demographics
NPI:1740543750
Name:DANNY L CAIN, PC
Entity type:Organization
Organization Name:DANNY L CAIN, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-222-3919
Mailing Address - Street 1:10005 DESOTO CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-1346
Mailing Address - Country:US
Mailing Address - Phone:301-222-3919
Mailing Address - Fax:301-740-9062
Practice Address - Street 1:451 HUNGERFORD DR
Practice Address - Street 2:STE 225
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4151
Practice Address - Country:US
Practice Address - Phone:301-222-3919
Practice Address - Fax:301-740-9062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD125241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty