Provider Demographics
NPI:1841897121
Name:CHARNOFF, TINA (MSW)
Entity type:Individual
Prefix:MRS
First Name:TINA
Middle Name:
Last Name:CHARNOFF
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4715 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4000
Mailing Address - Country:US
Mailing Address - Phone:240-247-7259
Mailing Address - Fax:
Practice Address - Street 1:4715 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4000
Practice Address - Country:US
Practice Address - Phone:240-247-7259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1041C0700X
MD091081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical