Provider Demographics
NPI:1316268683
Name:ASHERY, REBECCA SAGER (LLC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:SAGER
Last Name:ASHERY
Suffix:
Gender:F
Credentials:LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12212 GREENLEAF AVE
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3327
Mailing Address - Country:US
Mailing Address - Phone:240-606-5300
Mailing Address - Fax:301-984-4484
Practice Address - Street 1:6200 MONTROSE RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4119
Practice Address - Country:US
Practice Address - Phone:240-606-5300
Practice Address - Fax:301-984-4484
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD010461041C0700X
DCLC3003561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical