Basic Information
| Provider Information | |||||||||
| NPI: | 1144328808 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAJE | ||||||||
| FirstName: | RENE | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PH.D., LICSW, LCSW-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 WOOD HILL RD | ||||||||
| Address2: | |||||||||
| City: | ROCKVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208508724 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018384200 | ||||||||
| FaxNumber: | 3016108403 | ||||||||
| Practice Location | |||||||||
| Address1: | 5480 WISCONSIN AVE STE 223 | ||||||||
| Address2: | |||||||||
| City: | CHEVY CHASE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208153503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3014554149 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 05/20/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/20/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | LC50078104 | DC | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | 18758 | MD | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.