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Provider Information for 1427202530


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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ATESHA WOODS LCSW


Other Names:  
Former Name: 
ATESHA WOODS

Sex: Female

NPI: 1427202530
Last Updated: 2023-12-05
Certification Date: 2023-12-05

Details

NameValue
NPI1427202530
Enumeration Date2008-11-17
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 10045 BALTIMORE NATIONAL PIKE
UNIT A7, #561
ELLICOTT CITY, MD 21042-8038
United States

Phone: 203-585-3262 | Fax:
 
Primary Practice Address 10045 BALTIMORE NATIONAL PIKE STE A7
ELLICOTT CITY, MD 21042-3673
United States

Phone: 203-585-3262 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalMD21743