Provider Demographics
NPI:1174263321
Name:AYERS, MONICA (MSW, LMSW)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:AYERS
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 GRAHAM PATRICK AVE
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-2014
Mailing Address - Country:US
Mailing Address - Phone:301-651-3731
Mailing Address - Fax:
Practice Address - Street 1:9015 WOODYARD RD STE 208
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4209
Practice Address - Country:US
Practice Address - Phone:301-651-3731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MD28343225XM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical