| Walter Reed Army Medical Center | |
|
6900 Georgia Ave Nw Bldg 14 Washington DC 20307-0003 | |
| (202) 356-1012 | |
| Not Available |
| Full Name | Walter Reed Army Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 6900 Georgia Ave Nw Bldg 14, Washington, District Of Columbia |
| Authorized Official Name and Position | Karmin Reeves Jenkins (SOCIAL WORKER) |
| Authorized Official Contact | 2023561012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Reed Army Medical Center 6900 Georgia Ave Nw Bldg 14 Washington DC 20307-0003 Ph: (202) 356-1012 | Walter Reed Army Medical Center 6900 Georgia Ave Nw Bldg 14 Washington DC 20307-0003 Ph: (202) 356-1012 |
| NPI Number | 1154588770 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154588770 | NPI | - | NPPES |
| 09949 | Other | MD | LICENSURE NUMBER (LCSW-C )WITH THE STATE OF MARYLAND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 09949 (Maryland) | Primary |
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