Angelina Austin, SW

Individual provider Active NPI Clinical Social Worker · Washington, DC

NPI 1346445673 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1346445673
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LC302119 (DC)
Practice address
810 Potomac Ave., SE
Washington, DC 20003
Phone
(202) 547-8450
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LC302119DCMDClinical Social Worker
0904002546VAMDClinical Social Worker
09903MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fihankra Place, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC302119 DC Yes
Clinical Social Worker 1041C0700X 0904002546 VA
Clinical Social Worker 1041C0700X 09903 MD

Addresses

Primary practice location

810 Potomac Ave., SE
Washington, DC 20003

Mailing address

3800 Powell LN
Unit #708
Falls Church, VA 22041-3687
Phone (703) 931-1219

Other providers in Washington, DC

All providers in Washington, DC · Clinical Social Worker in District of Columbia

Sources for this page

Verify at the official NPI Registry.