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611 Pennsylvania Ave Se # 415 Washington DC 20003-4303 | |
| (401) 230-9601 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 611 Pennsylvania Ave Se # 415, Washington, District Of Columbia |
| Authorized Official Name and Position | Nadia Marisa Tourinho (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4012309601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
611 Pennsylvania Ave Se # 415 Washington DC 20003-4303 Ph: () - | 611 Pennsylvania Ave Se # 415 Washington DC 20003-4303 Ph: (401) 230-9601 |
| NPI Number | 1164033304 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Medicare PECOS PAC ID | 9537525613 |
|---|---|
| Medicare Enrollment ID | O20230516000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164033304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nadia Tourinho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982122198 PECOS PAC ID: 8123385358 Enrollment ID: I20230516000018 |
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