Organization
DESCANSO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YASMIN INDIA LLUVERAS LCSW-C (DIRECTOR)
(240) 643-2728
Entity
Organization
Contact information
Practice address
50 W MONTGOMERY AVE, SUITE 110, ROCKVILLE, MD 20850-4216
(240) 643-2728
(301) 670-2254
Mailing address
PO BOX 1103, ROCKVILLE, MD 20849-1103
(240) 643-2728
(301) 670-2254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11517912
CAQH
MD
05
—
407063100
—
MD
01
—
469CDE
BLUE CROSS
MD
01
—
N076
BLUE CROSS
DC
01
—
N0760001
BLUE CROSS
MD
Enumeration date
06/03/2006
Last updated
08/11/2008
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