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NPI Code Detail

MEDICARE: PAUL H DELGROSSO LICSW

MEDICARE: PAUL H DELGROSSO 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
11041C0700XClinical Social WorkerLC50078601DC
21041C0700XClinical Social Worker20715MD

General Provider Information

NPI Number : 1861518904
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL H DELGROSSO LICSW
Provider Business Mailing Address
First Line : 1211 NEW JERSEY AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20001-1225
Country : US
Telephone Number : 202-413-3923
Fax Number :
Provider Business Practice Location Address
First Line : 4350 E WEST HWY STE 200
Second Line :
City : BETHESDA
State : MD
Zip : 20814-4426
Country : US
Telephone Number : 301-970-4001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 09/16/2021

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Directions to “ PAUL H DELGROSSO LICSW” Practice Location

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