Provider Demographics
NPI:1811157688
Name:ASNER, JUDITH
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:
Last Name:ASNER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JUDITH
Other - Middle Name:
Other - Last Name:ASNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:10613 MUIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4080
Mailing Address - Country:US
Mailing Address - Phone:301-654-3211
Mailing Address - Fax:301-654-8821
Practice Address - Street 1:10613 MUIRFIELD DR
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-4080
Practice Address - Country:US
Practice Address - Phone:301-654-3211
Practice Address - Fax:301-654-8821
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-14
Last Update Date:2008-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD001811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical