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NPI Code Detail

MEDICARE: MR. LAMAR DECARLTON JENKINS LICSW

MEDICARE: MR. LAMAR DECARLTON JENKINS 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
1104100000XSocial WorkerLC50080156DC
21041C0700XClinical Social WorkerLC50080156DC

General Provider Information

NPI Number : 1366850042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LAMAR DECARLTON JENKINS LICSW
Provider Business Mailing Address
First Line : 1200 1ST ST NE FL 9
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-7953
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 1ST ST NE FL 9
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-7953
Country : US
Telephone Number : 202-442-4800
Fax Number : 202-442-5026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2014
Last Update Date : 01/26/2026

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