Provider Demographics
NPI:1720236573
Name:DAMSEL, LAUREL BETHANY (LCSW-C, LICSW)
Entity type:Individual
Prefix:MS
First Name:LAUREL
Middle Name:BETHANY
Last Name:DAMSEL
Suffix:
Gender:F
Credentials:LCSW-C, LICSW
Other - Prefix:MS
Other - First Name:BETH
Other - Middle Name:ANN
Other - Last Name:NEJADI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C, LICSW
Mailing Address - Street 1:13632 DEERWATER DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-2846
Mailing Address - Country:US
Mailing Address - Phone:240-421-6675
Mailing Address - Fax:
Practice Address - Street 1:13632 DEERWATER DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2846
Practice Address - Country:US
Practice Address - Phone:240-421-6675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07891101YM0800X
DCLC50078405101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health