Provider Demographics
NPI:1053556951
Name:STUDEVENT-WARD, LINDA ELAINE (LICSW, LCSW-C)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:ELAINE
Last Name:STUDEVENT-WARD
Suffix:
Gender:F
Credentials:LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 ANAIO CT
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2372
Mailing Address - Country:US
Mailing Address - Phone:202-731-8006
Mailing Address - Fax:
Practice Address - Street 1:8201 ANAIO CT
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2372
Practice Address - Country:US
Practice Address - Phone:202-731-8006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-05
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD110161041C0700X
DCLC3021531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical