Basic Information
Provider Information
NPI: 1063561223
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HALE
FirstName: MONEE
MiddleName: ZABELLE
NamePrefix: MS.
NameSuffix:  
Credential: MSW, LCSW-C, LICSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10401 MEADOWRIDGE CT
Address2:  
City: BOWIE
State: MD
PostalCode: 207212860
CountryCode: US
TelephoneNumber: 3014551949
FaxNumber:  
Practice Location
Address1: 1200 1ST ST NE FL 9
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200027953
CountryCode: US
TelephoneNumber: 2024424800
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/09/2007
LastUpdateDate: 08/07/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X12449MDN Behavioral Health & Social Service ProvidersSocial WorkerClinical
1041S0200XLC50077937DCY Behavioral Health & Social Service ProvidersSocial WorkerSchool

No ID Information.


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