Healthcare Provider Details

I. General information

NPI: 1992515233
Provider Name (Legal Business Name): FEDERICO CARRARA LGPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 RHODE ISLAND AVE NW
WASHINGTON DC
20001-4153
US

IV. Provider business mailing address

8700 GEORGIA AVE STE 404
SILVER SPRING MD
20910-3605
US

V. Phone/Fax

Practice location:
  • Phone: 202-232-6100
  • Fax: 202-644-7024
Mailing address:
  • Phone: 443-333-8815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGPC200012558
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: