Organization
JEWISH SOCIAL SERVICE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN PONTON (DIRECTOR, PATIENT ACCOUNTS)
(301) 816-2616
Entity
Organization
Contact information
Practice address
1390 PICCARD DR, ROCKVILLE, MD 20850-4367
(301) 881-3700
Mailing address
1390 PICCARD DR, ROCKVILLE, MD 20850-4367
(301) 881-3700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
MD
103T00000X
Psychologist
—
MD
104100000X
Social Worker
Primary
—
MD
1041C0700X
Clinical Social Worker
—
MD
2084P0800X
Psychiatry Physician
—
MD
Other
Enumeration date
02/14/2017
Last updated
07/21/2022
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