MEDICARE: DONNA BLAND

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	LG200004629	DC

General Provider Information

NPI Number	:	1427992908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA BLAND

Provider Business Mailing Address
First Line	:	1763 COLUMBIA RD NW STE 100
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-2834
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1763 COLUMBIA RD NW STE 100
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-2834
Country	:	US
Telephone Number	:	240-604-9400
Fax Number	:

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

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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Directions to “ DONNA BLAND ” Practice Location

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