Provider Demographics
NPI:1174242739
Name:VEASLEY, TAMESHA LASHAUN (LMSW)
Entity type:Individual
Prefix:
First Name:TAMESHA
Middle Name:LASHAUN
Last Name:VEASLEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 MARLBORO PIKE APT 5
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-1108
Mailing Address - Country:US
Mailing Address - Phone:202-650-8052
Mailing Address - Fax:
Practice Address - Street 1:2972 PENWICK LN STE 201A
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:MD
Practice Address - Zip Code:20754-9403
Practice Address - Country:US
Practice Address - Phone:301-690-0779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26794104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker