Christine Marie Degraff
Individual provider Active NPI Clinical Psychologist · Washington, DC
NPI 1124276407 · NPPES record last updated Jan 27, 2023
Key facts
- NPI
- 1124276407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 05572 (MD)
- Practice address
- 20 Macdill Blvd SE
Washington, DC 20032 - Phone
- (240) 535-2618
- NPI assigned
- Aug 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05572 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | 05572 | MD | Yes |
Addresses
Primary practice location
20 Macdill Blvd SE
Washington, DC 20032
Mailing address
14720 4TH St Apt 312
Laurel, MD 20707-3778
Phone (240) 535-2618
Other practice location 1
729 S Knott Ave Apt 227
Anaheim, CA 92804-2998
Phone (240) 535-2618
Other providers in Washington, DC
- Helen Degife
- Anne Degirolamo
- Ivo Ashu Degoh
- Lindaharry Degoh
- Pascal Degoh
- Kenneth Degraphenreid
- Guy Thomas Degreaffenreidte
- Sabrina Degreaffenreidte
- Kathryn Degroat
- Brittney Jonese Degroate
All providers in Washington, DC · Clinical Psychologist in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.