Provider Demographics
NPI:1023879897
Name:AHN, YOU LIM (SOCIAL WORKER)
Entity type:Individual
Prefix:
First Name:YOU
Middle Name:LIM
Last Name:AHN
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 ELMCROFT BLVD APT 6205
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5684
Mailing Address - Country:US
Mailing Address - Phone:240-704-5482
Mailing Address - Fax:
Practice Address - Street 1:355 ELMCROFT BLVD APT 6205
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5684
Practice Address - Country:US
Practice Address - Phone:240-704-5482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD231231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical