Provider Demographics
NPI:1750617957
Name:ARENE, TERESA (LICSW)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:ARENE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:TERESA
Other - Last Name:ARENE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:1804 KENYON ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2619
Mailing Address - Country:US
Mailing Address - Phone:202-413-7837
Mailing Address - Fax:
Practice Address - Street 1:7412 GEORGIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1754
Practice Address - Country:US
Practice Address - Phone:202-413-7837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-22
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3029811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical