| William Wendt Center For Loss And Healing | |
|
4201 Connecticut Avenue Nw Suite 300 Washington DC 20008-1162 | |
| (202) 624-0010 | |
| (202) 624-0062 |
| Full Name | William Wendt Center For Loss And Healing |
|---|---|
| Speciality | Clinic/Center |
| Location | 4201 Connecticut Avenue Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Jerri L Anglin (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 2024228063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William Wendt Center For Loss And Healing 4201 Connecticut Avenue Nw Suite 300 Washington DC 20008-1162 Ph: (202) 624-0010 | William Wendt Center For Loss And Healing 4201 Connecticut Avenue Nw Suite 300 Washington DC 20008-1162 Ph: (202) 624-0010 |
| NPI Number | 1710040720 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 07/27/2020 |
| Certification Date | 07/27/2020 |
| Medicare PECOS PAC ID | 3870576986 |
|---|---|
| Medicare Enrollment ID | O20040610000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710040720 | NPI | - | NPPES |
| 037516200 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Grace C Metz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629131768 PECOS PAC ID: 2264415389 Enrollment ID: I20040610000408 |
| Provider Name | Beverly A Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235145343 PECOS PAC ID: 8325021454 Enrollment ID: I20040610000444 |
| Provider Name | Kerry Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083076384 PECOS PAC ID: 9133491905 Enrollment ID: I20170815001519 |
| Provider Name | Stephanie G Handel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457590135 PECOS PAC ID: 0840563060 Enrollment ID: I20170908002116 |
| Provider Name | Michael A Neustadt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043721400 PECOS PAC ID: 5294094439 Enrollment ID: I20180117000617 |
| Provider Name | Sarah Hope Franks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144506569 PECOS PAC ID: 4789949314 Enrollment ID: I20180531000357 |
| Provider Name | Laurelle S Blair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447728050 PECOS PAC ID: 7315282993 Enrollment ID: I20181231001529 |
| Provider Name | Claire S Bernstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003384116 PECOS PAC ID: 8921348731 Enrollment ID: I20190313002959 |
| Provider Name | Vilma Y Nadal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639601255 PECOS PAC ID: 4981944998 Enrollment ID: I20190328001330 |
| Provider Name | Megan C Broderick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811467814 PECOS PAC ID: 6507190931 Enrollment ID: I20190619000308 |
| Provider Name | Donna Tish |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437435393 PECOS PAC ID: 6608291588 Enrollment ID: I20200810001821 |
| Provider Name | Janet Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639551922 PECOS PAC ID: 4082024872 Enrollment ID: I20201105002942 |
| Provider Name | Tracie Doherty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134570674 PECOS PAC ID: 7113398314 Enrollment ID: I20230126001555 |
| Provider Name | Emily Pryor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942857115 PECOS PAC ID: 7113382029 Enrollment ID: I20230428000491 |
| Provider Name | Amy Stupi Aronstamn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063139293 PECOS PAC ID: 5799128302 Enrollment ID: I20240212000988 |
| Provider Name | Ivonne Marie Miranda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710326053 PECOS PAC ID: 7315384328 Enrollment ID: I20240326004115 |
| Provider Name | Jeremy Edward Hube |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992068597 PECOS PAC ID: 7911345715 Enrollment ID: I20240328003904 |
| Provider Name | Susan Greynolds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083068696 PECOS PAC ID: 3971941386 Enrollment ID: I20240404001819 |
| Provider Name | Sarah Elizabeth Kernan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831661297 PECOS PAC ID: 9436598497 Enrollment ID: I20240423004514 |
| Provider Name | Megan Seymour |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407472152 PECOS PAC ID: 0749621563 Enrollment ID: I20240510002337 |
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