Provider Demographics
NPI:1588339683
Name:HOGG, AIESHA DARNELLE (LCSW-C)
Entity type:Individual
Prefix:
First Name:AIESHA
Middle Name:DARNELLE
Last Name:HOGG
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11351 WOODGLEN DR APT 538
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-6017
Mailing Address - Country:US
Mailing Address - Phone:703-728-9239
Mailing Address - Fax:
Practice Address - Street 1:11351 WOODGLEN DR APT 538
Practice Address - Street 2:
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-6017
Practice Address - Country:US
Practice Address - Phone:703-728-9239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD225821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical