MEDICARE: JOCELYN THERESA BYNUM

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	1041S0200X	School Social Worker	LG200004729	DC

General Provider Information

NPI Number	:	1720851017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN THERESA BYNUM

Provider Business Mailing Address
First Line	:	414 WEBSTER ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-7312
Country	:	US
Telephone Number	:	202-680-8754
Fax Number	:

Provider Business Practice Location Address
First Line	:	414 WEBSTER ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-7312
Country	:	US
Telephone Number	:	202-680-8754
Fax Number	:

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

Provider Enumeration Date	:	10/30/2023
Last Update Date	:	03/02/2026

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Directions to “ JOCELYN THERESA BYNUM ” Practice Location

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