Provider Demographics
NPI:1770950313
Name:HSW FAMILY SERVICES INC
Entity type:Organization
Organization Name:HSW FAMILY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED SOCIAL WORKER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:PANAMENO-GRANADENO
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW
Authorized Official - Phone:301-832-0441
Mailing Address - Street 1:6604 BELCREST RD APT A
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-8328
Mailing Address - Country:US
Mailing Address - Phone:301-832-0441
Mailing Address - Fax:
Practice Address - Street 1:6604 BELCREST RD APT A
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-8328
Practice Address - Country:US
Practice Address - Phone:301-832-0441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20288305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service