Bethany Mae Hanline, LICSW
Social Worker, Clinical in Silver Spring, MD. Individual provider (NPI-1).
NPI number1417462425
StatusActive
Last updated in NPPESJan 16, 2025
Details
- NPI
- 1417462425
- Entity type
- Individual (NPI-1)
- Name
- Bethany Mae Hanline
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2017
- Certification date
- Jan 16, 2025
- Last updated
- Jan 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 125946 | MA | Yes |
Practice location
300 University Blvd ESilver Spring, MD 20901-2866
Phone 301-650-6650
Mailing address
876 Grattan StChicopee, MA 01020-1247
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