Provider Demographics
NPI:1902475866
Name:ASHOROBI, TEMITOPE S (LMSW)
Entity Type:Individual
Prefix:
First Name:TEMITOPE
Middle Name:S
Last Name:ASHOROBI
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 1:702 RUSSELL AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2605
Mailing Address - Country:US
Mailing Address - Phone:301-330-0006
Mailing Address - Fax:301-330-0444
Practice Address - Street 1:702 RUSSELL AVE STE 100
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2605
Practice Address - Country:US
Practice Address - Phone:301-330-0006
Practice Address - Fax:301-330-0444
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLM27134104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLM27134OtherSTATE OF MARYLAND