| Community Wellness Ventures, Llc | |
|
1930 Martin Luther King Jr Ave Se Washington DC 20020-7006 | |
| (202) 450-5822 | |
| (202) 450-5822 |
| Full Name | Community Wellness Ventures, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1930 Martin Luther King Jr Ave Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Rod Williams (COO) |
| Authorized Official Contact | 2024505822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Wellness Ventures, Llc 1930 Martin Luther King Jr Ave Se Washington DC 20020-7006 Ph: (202) 450-5822 | Community Wellness Ventures, Llc 1930 Martin Luther King Jr Ave Se Washington DC 20020-7006 Ph: (202) 450-5822 |
| NPI Number | 1275903700 |
|---|---|
| Provider Enumeration Date | 09/27/2015 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Medicare PECOS PAC ID | 6901155696 |
|---|---|
| Medicare Enrollment ID | O20200603001603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275903700 | NPI | - | NPPES |
| Provider Name | Rizwan Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568402600 PECOS PAC ID: 9537262431 Enrollment ID: I20070314000317 |
| Provider Name | Chester L Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164862199 PECOS PAC ID: 8820419625 Enrollment ID: I20200603001740 |
| Provider Name | Eric Wanjamah Ndichu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871927079 PECOS PAC ID: 7618398413 Enrollment ID: I20200603001839 |
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