Individual
MS. SUSAN H RENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C LICSW
Contact information
Practice address
6123 MONTROSE RD, ROCKVILLE, MD 20852
(301) 881-3700
(301) 468-1862
Mailing address
6123 MONTROSE RD, ROCKVILLE, MD 20852
(301) 881-3700
(301) 468-1862
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20784
MD
104100000X
Social Worker
LC00300716
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
234902
KAISER
MD
01
—
486836000
MAGELLAN
MD
01
—
7324398
AETNA
MD
05
—
779700100
—
MD
01
—
A2840022
BCBS
DC
Enumeration date
09/07/2006
Last updated
11/28/2011
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