Individual
ELLEN C PSKOWSKI
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
05414
MD
104100000X
Social Worker
LC302538
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101084000
MAGELLAN
MD
01
—
235307
KAISER
MD
01
—
530196598
TRICARE
MD
01
—
54978
UBH
MD
01
—
61454502
BCBS OF MD
MD
01
—
7267115
AETNA
MD
05
—
779608100
—
MD
01
—
96557
MHN
MD
01
—
A2840020
BCBS OF DC
DC
Enumeration date
08/13/2006
Last updated
05/02/2014
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