Montecinos, Evelyn

Montecinos, Evelyn is an individual health care provider with primary practice located at 610 E Diamond Ave Suite 100A, Gaithersburg MD 20877-5321. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Montecinos, Evelyn can be contacted via phone (301) 840-3200.

Contact Information

Primary practice address
610 E Diamond Ave Suite 100A Gaithersburg MD 20877-5321
Fax: (301) 840-1348
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 18403 Maryland

Profile Details

NPI number 1033468020
LBN Legal business name Montecinos, Evelyn
Credentials LGSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2012
Last updated Sep 5th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033468020 NPPES
Maryland MEDICAID 816700100

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