Provider Demographics
NPI:1316626336
Name:ASURU-ACEY, NADELL JOCELYN (LMSW)
Entity type:Individual
Prefix:MRS
First Name:NADELL
Middle Name:JOCELYN
Last Name:ASURU-ACEY
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 1:19669 BRASSIE PL
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20886-1911
Mailing Address - Country:US
Mailing Address - Phone:240-982-0444
Mailing Address - Fax:
Practice Address - Street 1:19669 BRASSIE PL
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20886-1911
Practice Address - Country:US
Practice Address - Phone:240-982-3444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD303781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical