| Psychiatric Institute Of Washington | |
|
4228 Wisconsin Ave Nw Washington DC 20016-2138 | |
| (202) 885-5600 | |
| (202) 966-7374 |
| Full Name | Psychiatric Institute Of Washington |
|---|---|
| Speciality | Social Worker |
| Location | 4228 Wisconsin Ave Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Charles J Baumgardner (VP OF CORP. OPERATIONS) |
| Authorized Official Contact | 2028855679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Institute Of Washington 4228 Wisconsin Ave Nw Washington DC 20016-2138 Ph: (202) 885-5600 | Psychiatric Institute Of Washington 4228 Wisconsin Ave Nw Washington DC 20016-2138 Ph: (202) 885-5600 |
| NPI Number | 1154760387 |
|---|---|
| Provider Enumeration Date | 06/20/2013 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154760387 | NPI | - | NPPES |
| 074500600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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