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WISCONSIN AVE PSYCHIATRIC CENTER INC NPI 1801279393


NPI Information

NPI: 1801279393
Provider Name: WISCONSIN AVE PSYCHIATRIC CENTER INC

Doing Business As: PSYCHIATRIC INSTITUTE OF WASHINGTON

Classification: Social Worker - 104100000X
Entity Type: Organization

CLIA Number: 09D0919478

Address:
4228 WISCONSIN AVE NW
WASHINGTON, DC
ZIP 20016
Phone: (202) 885-5600
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WISCONSIN AVE PSYCHIATRIC CENTER INC is a social worker in Washington, DC. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. WISCONSIN AVE PSYCHIATRIC CENTER INC NPI is 1801279393. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Psychiatric Institute Of Washington.

The provider's business location address is:

4228 WISCONSIN AVE NW
WASHINGTON, DC
ZIP 20016-138
Phone: (202) 885-5600
Fax: (202) 885-5842

The provider's authorized official is Charles J Baumgardner .
The authorized official title is Ceo and has the following contact phone number (202) 885-5600.

The CLIA number assigned to this NPI record is 09D0919478 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2015 and was last updated on 7/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthHFD01-0011DISTRICT OF COLUMBIANo
2104100000XSocial WorkerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1074500600MEDICAIDMARYLAND
2208290000MEDICAIDMARYLAND
3448740100MEDICAIDMARYLAND
4569223OTHERMEDICARE
5026392500MEDICAIDDISTRICT OF COLUMBIA
6026402100MEDICAIDDISTRICT OF COLUMBIA
7094004MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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