Alice Ann Marie Washington, LCSW

Individual provider Active NPI Clinical Social Worker · Newman, CA

NPI 1972839728 · NPPES record last updated Dec 17, 2010

Key facts

NPI
1972839728
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
1349 Main St
Newman, CA 95360-1326
Phone
(209) 862-3604
NPI assigned
Oct 29, 2009
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)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

1349 Main St
Newman, CA 95360-1326

Mailing address

PO Box 577824
Modesto, CA 95357-7824
Phone (209) 996-9127

Other providers in Newman, CA

All providers in Newman, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.