Provider Demographics
NPI:1972006609
Name:KOENIG, HENRIETTA M (MA, MSW)
Entity type:Individual
Prefix:
First Name:HENRIETTA
Middle Name:M
Last Name:KOENIG
Suffix:
Gender:F
Credentials:MA, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 ROCKVILLE PIKE STE 145
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5136
Mailing Address - Country:US
Mailing Address - Phone:240-777-3923
Mailing Address - Fax:
Practice Address - Street 1:255 ROCKVILLE PIKE STE 145
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5136
Practice Address - Country:US
Practice Address - Phone:240-777-3923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-08
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator