| Dc Care Collaborative, Llc | |
|
1780 Hobart St Nw Washington DC 20009-2908 | |
| (202) 507-9766 | |
| Not Available |
| Full Name | Dc Care Collaborative, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1780 Hobart St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Elizabeth Chapkovsky (LICSW) |
| Authorized Official Contact | 2022156199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dc Care Collaborative, Llc 1780 Hobart St Nw Washington DC 20009-2908 Ph: (202) 507-9766 | Dc Care Collaborative, Llc 1780 Hobart St Nw Washington DC 20009-2908 Ph: (202) 507-9766 |
| NPI Number | 1477130300 |
|---|---|
| Provider Enumeration Date | 03/26/2021 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/22/2023 |
| Medicare PECOS PAC ID | 6002215928 |
|---|---|
| Medicare Enrollment ID | O20210526001943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477130300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Chapkovsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659965069 PECOS PAC ID: 7517366438 Enrollment ID: I20210526002168 |
| Provider Name | Danielle J Mazur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255044111 PECOS PAC ID: 0042684102 Enrollment ID: I20230313002799 |
| Provider Name | Natalia Gomez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750914602 PECOS PAC ID: 4981046307 Enrollment ID: I20240530000863 |
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