Provider Demographics
NPI:1316690910
Name:RONAYNE, THERESE (LCSW-C)
Entity type:Individual
Prefix:
First Name:THERESE
Middle Name:
Last Name:RONAYNE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:THERESE
Other - Middle Name:RONAYNE
Other - Last Name:SOHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:3317 MCKINLEY ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-1648
Mailing Address - Country:US
Mailing Address - Phone:410-530-2263
Mailing Address - Fax:
Practice Address - Street 1:344 UNIVERSITY BLVD W
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1948
Practice Address - Country:US
Practice Address - Phone:844-796-2797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD077221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical