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NPI Code Detail

MEDICARE: KWAME MCINTOSH

MEDICARE: KWAME MCINTOSH
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
1101YP2500XProfessional CounselorLG50080854DC
2104100000XSocial WorkerLG50080854DC

General Provider Information

NPI Number : 1588232144
Entity Type Code : Individual
Provider Name (Legal Business Name) : KWAME MCINTOSH
Provider Business Mailing Address
First Line : 7514 HAWTHORNE ST APT 6
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20785-2658
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3300 PENNSYLVANIA AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-2408
Country : US
Telephone Number : 202-878-6626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2021
Last Update Date : 04/08/2026

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Directions to “ KWAME MCINTOSH ” Practice Location

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