MEDICARE: KATHERINE A BRUNKOW LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LC301121	DC

General Provider Information

NPI Number	:	1033287693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE A BRUNKOW LICSW

Provider Business Mailing Address
First Line	:	1400 20TH ST NW
Second Line	:	SUITE 104
City	:	WASHINGTON
State	:	DC
Zip	:	20036-5906
Country	:	US
Telephone Number	:	202-331-7250
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 20TH ST NW
Second Line	:	SUITE 104
City	:	WASHINGTON
State	:	DC
Zip	:	20036-5906
Country	:	US
Telephone Number	:	202-331-7250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1285682575 — DR. GREGORY A. GRINC PH.D.
Practice Location Address:

1400 20TH ST NW , SUITE 114
WASHINGTON, DC
20036-5906

Practice Phone: 202-331-8484
Practice Fax: 202-478-1717

1396895744 — DR. SARA NIEVES-GRAFALS PH.D.
Practice Location Address:

1400 20TH ST NW , SUITE 103
WASHINGTON, DC
20036-5906

Practice Phone: 202-543-1247
Practice Fax:

1104963511 — MS. DEBORAH BLESSING LICSW
Practice Location Address:

1400 20TH ST NW , SUITE 101
WASHINGTON, DC
20036-5906

Practice Phone: 202-872-9146
Practice Fax:

1316079288 — MS. SANDRA GOODBODY MSW
Practice Location Address:

1400 20TH ST NW , SUITE 103
WASHINGTON, DC
20036-5906

Practice Phone: 202-833-3070
Practice Fax:

1609908110 — DR. PETER RUSSEM PH.D.
Practice Location Address:

1400 20TH ST NW , SUITE 113
WASHINGTON, DC
20036-5906

Practice Phone: 202-463-9400
Practice Fax:

1548384423 — DR. PERNILLE CHAMBLISS PH.D.
Practice Location Address:

1400 20TH ST NW , SUITE 103
WASHINGTON, DC
20036-5906

Practice Phone: 202-686-1486
Practice Fax: 202-237-1498

Directions to “ KATHERINE A BRUNKOW LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.