Provider Demographics
NPI:1194772392
Name:BENNETT-STENZEL, JOAL ANN (MSW,LCSW-C, LICSW)
Entity type:Individual
Prefix:
First Name:JOAL
Middle Name:ANN
Last Name:BENNETT-STENZEL
Suffix:
Gender:F
Credentials:MSW,LCSW-C, LICSW
Other - Prefix:
Other - First Name:JOAL
Other - Middle Name:ANN
Other - Last Name:BENNETT-BLACKMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW,LCSW-C,LICSW
Mailing Address - Street 1:7806 TURNING CREEK CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4076
Mailing Address - Country:US
Mailing Address - Phone:301-523-4218
Mailing Address - Fax:301-765-7024
Practice Address - Street 1:14816 PHYSICIANS LN
Practice Address - Street 2:SUITE 252
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3944
Practice Address - Country:US
Practice Address - Phone:301-523-4218
Practice Address - Fax:301-765-7024
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106461041C0700X
DCLC003018721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD349147OtherOPTIMUM CHOICE, UHC
DC2307-0018OtherBLUE CROSS/BLUE SHIELD
014451M32Medicare ID - Type Unspecified