Individual
BARRIE KRELLEN GOCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
3750 UNIVERSITY BLVD W, SUITE 303, KENSINGTON, MD 20895-2136
(301) 466-1163
(301) 933-7588
Mailing address
3750 UNIVERSITY BLVD W, SUITE 303, KENSINGTON, MD 20895-2136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08647
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296803
MHN,TRICARE
—
01
—
80740001
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/19/2007
Last updated
10/21/2016
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