Provider Demographics
NPI:1740754134
Name:BUCHANAN, ARLEE HOWELL PINGITORE (LCSW-C)
Entity type:Individual
Prefix:
First Name:ARLEE
Middle Name:HOWELL PINGITORE
Last Name:BUCHANAN
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LEIGH HOWELL
Other - Last Name:PINGITORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1018
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20659-1018
Mailing Address - Country:US
Mailing Address - Phone:301-259-1837
Mailing Address - Fax:
Practice Address - Street 1:401 SMALLWOOD DR
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2880
Practice Address - Country:US
Practice Address - Phone:301-259-1837
Practice Address - Fax:240-249-4893
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-18
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23106104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker