MEDICARE: NIKITA PION-KLOCKNER

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	LC50078941	DC

General Provider Information

NPI Number	:	1912063991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKITA PION-KLOCKNER

Provider Business Mailing Address
First Line	:	7034 CARROLL AVE
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-4434
Country	:	US
Telephone Number	:	301-920-2505
Fax Number	:

Provider Business Practice Location Address
First Line	:	7034 CARROLL AVE
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-4434
Country	:	US
Telephone Number	:	301-920-2505
Fax Number	:

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

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	01/04/2013

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Directions to “ NIKITA PION-KLOCKNER ” Practice Location

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