Provider Demographics
NPI:1861790867
Name:HAMAN, ANN ELIZABETH (LCSW-C, MSW)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:ELIZABETH
Last Name:HAMAN
Suffix:
Gender:F
Credentials:LCSW-C, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8609 2ND AVE
Mailing Address - Street 2:SUITE 307B
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3360
Mailing Address - Country:US
Mailing Address - Phone:301-879-1580
Mailing Address - Fax:
Practice Address - Street 1:8609 2ND AVE
Practice Address - Street 2:SUITE 307B
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3360
Practice Address - Country:US
Practice Address - Phone:301-879-1580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD078651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD07865OtherSTATE LICENSE NUMBER