Bernice N Washington

Individual provider Active NPI Social Worker · Laplata, MD

NPI 1922437532 · NPPES record last updated Nov 4, 2013

Key facts

NPI
1922437532
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
589561802 (MD)
Practice address
6100 Radio Station Road
Laplata, MD 20646-3369
Phone
(301) 609-9887
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
589561802MDMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 589561802 MD Yes

Addresses

Primary practice location

6100 Radio Station Road
Laplata, MD 20646-3369

Mailing address

6100 Radio Station Road
P.O. Box 2924
Laplata, MD 20646-3369
Phone (301) 609-9887

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 4, 2013.

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1922437532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 RADIO STATION ROAD",
            "address_2": "P.O. BOX 2924",
            "city": "LAPLATA",
            "state": "MD",
            "postal_code": "206463369",
            "telephone_number": "301-609-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 RADIO STATION ROAD",
            "city": "LAPLATA",
            "state": "MD",
            "postal_code": "206463369",
            "telephone_number": "301-609-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "BERNICE",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "589561802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laplata, MD

All providers in Laplata, MD · Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.