Provider Demographics
NPI:1982464798
Name:GAY, ALAINA (LMSW)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:
Last Name:GAY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3003
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20773-3003
Mailing Address - Country:US
Mailing Address - Phone:240-210-1208
Mailing Address - Fax:
Practice Address - Street 1:1802 BRIGHTSEAT RD STE 300
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-4244
Practice Address - Country:US
Practice Address - Phone:240-249-0989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD31205104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker