Provider Demographics
NPI:1710275516
Name:BOWDITCH, NATASHA (MSW, LCSW-C)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:BOWDITCH
Suffix:
Gender:
Credentials:MSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10711 MARY CARROLL CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-7417
Mailing Address - Country:US
Mailing Address - Phone:301-691-8421
Mailing Address - Fax:
Practice Address - Street 1:10711 MARY CARROLL CT
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-7417
Practice Address - Country:US
Practice Address - Phone:301-691-8421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD231081041C0700X
104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial Worker