Provider Demographics
NPI:1093547382
Name:ORWENYO, EVALYNE (LMSW)
Entity type:Individual
Prefix:DR
First Name:EVALYNE
Middle Name:
Last Name:ORWENYO
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 1:8284 MARY LEE LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1171
Mailing Address - Country:US
Mailing Address - Phone:443-630-1593
Mailing Address - Fax:
Practice Address - Street 1:8284 MARY LEE LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1171
Practice Address - Country:US
Practice Address - Phone:443-630-1593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD320121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical