Individual provider · Type 1 NPI

Brenda Odalys Tavara, LMSW

Clinical Social Worker · Gaithersburg, MD

NPI number 1841817467 Active

Practice location

220 Girard St # 100
Gaithersburg, MD 20877-3467

Call (301) 216-0880 Map

Fax (301) 495-0318

Mailing address

8630 Fenton St Ste 1204
Silver Spring, MD 20910-3808

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X25911 (MD)
Clinical Social Worker Primary 1041C0700X25911 (MD)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1841817467

Brenda Odalys Tavara, LMSW's National Provider Identifier is 1841817467, issued on Jun 30, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gaithersburg, MD. The record was last updated on Jun 30, 2020.