Individual
DOLORES MADIOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
10451 TWIN RIVERS RD, COLUMBIA, MD 21044-2388
(410) 997-3557
(410) 964-1791
Mailing address
4623 FALLS RD, BALTIMORE, MD 21209-4914
(410) 366-1980
(410) 366-8530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01262
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11249314
CAQH
MD
01
—
226092
KAISER
MD
01
—
239330-000
MAGELLAN HEALTHCARE
MD
01
—
280361
MAMSI
MD
01
—
399170
TRICARE
MD
01
—
417290
BCBS
MD
05
—
492610200
—
MD
01
—
7618409
AETNA BEHAVIORAL HEALTH
MD
01
—
PVP134855
APS HEALTHCARE
MD
01
—
T541 0025
BCBS-DC
MD
Enumeration date
07/14/2006
Last updated
01/22/2009
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