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NPI Code Detail

MEDICARE: JENNIFER MARIA PEARSON

MEDICARE: JENNIFER MARIA PEARSON
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
11041C0700XClinical Social WorkerLC50082871DC

General Provider Information

NPI Number : 1548902182
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MARIA PEARSON
Provider Business Mailing Address
First Line : 4 ATLANTIC ST SW
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-2350
Country : US
Telephone Number : 202-984-1823
Fax Number :
Provider Business Practice Location Address
First Line : 4 ATLANTIC ST SW
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-2350
Country : US
Telephone Number : 202-984-1823
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2022
Last Update Date : 05/12/2026

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Directions to “ JENNIFER MARIA PEARSON ” Practice Location

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