First Name
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Last Name
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Email
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Phone
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Age
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Preferred Therapist(s)
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Any available therapist
Brandon Brumskill
Nicole Ziesing
Mackenzie Speir Carter, LMSW
Katie Kaufmann
Lincoln Pratt, LMSW
Anna Ehrlich, LMSW
Megan “MK” Kalbaugh, LCPC, she/they
Casi Leisure, LGPC, (they/them)
Priscilla Martins Lamptey, LGPC
Stephanie Peng, LGPC
Katie Piura, LCSW-C, LICSW
Hannah Davis, LMSW, LGSW
Lisa Ghali, LCSW-C, LICSW
Sania Tildon, LMSW, (she/her)
Stephen Mann, LGPC, (he/him)
Charika White, LGSW, (she/her)
Alex Phelan, C-IAYT, E-RYT 500
Jessica Jenkins, LCSW-C, LGSW
Mark Hollingshead, LGCP
Sheila Ervin, LCSW-C, LICSW (she/her/hers)
Janet Svirsky, LMSW, LGSW
Chelsea Turner, LCSW-C, LCISW, (she/her/hers)
Ana Rivera, LCPC
Kimberley Ince, LGPC
Janet Minichiello, LCPAT
Tanisha Sanders, LCSW-C
Simone Jacobs, LCSW-C, LICSW (she/her/hers)
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Phone
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What day / times are you available to meet with a therapist?
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Who is your primary insurance provider? (We are in-network with all CareFirst/BCBS plans)
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What type of appointment would you prefer?
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In Person
Telehealth
State
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If you would like to, please briefly describe your concerns.
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How did you hear about us?
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Search Engine (Google / Yahoo etc.)
Friend or Family Member
Psychology Today
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Returning Client
Takoma Fest
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