Provider Demographics
NPI:1053692301
Name:BELL, DANA LYNN (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:LYNN
Last Name:BELL
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 C ST STE C
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4152
Mailing Address - Country:US
Mailing Address - Phone:301-498-1550
Mailing Address - Fax:301-498-1552
Practice Address - Street 1:13 C ST STE C
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4152
Practice Address - Country:US
Practice Address - Phone:301-498-1550
Practice Address - Fax:301-498-1552
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD135291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical