MEDICARE: HANNA MIAO FREDA BRATT

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	104100000X	Social Worker	LG200004425	DC

General Provider Information

NPI Number	:	1104796051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNA MIAO FREDA BRATT

Provider Business Mailing Address
First Line	:	3400 MLK JR AVE SE STE 300
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20032-1542
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 MLK JR AVE SE STE 300
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20032-1542
Country	:	US
Telephone Number	:	202-724-7666
Fax Number	:

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

Provider Enumeration Date	:	11/06/2025
Last Update Date	:	03/25/2026

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