Provider Demographics
NPI:1891531943
Name:MICHAEL-SOBRATTI, JAMILA (LMSW)
Entity type:Individual
Prefix:
First Name:JAMILA
Middle Name:
Last Name:MICHAEL-SOBRATTI
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:PO BOX 87652
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-7652
Mailing Address - Country:US
Mailing Address - Phone:240-418-9915
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 87652
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-7652
Practice Address - Country:US
Practice Address - Phone:240-418-9915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD31571104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker