Healthcare Provider Details
I. General information
NPI: 1174396436
Provider Name (Legal Business Name): MRS. AFRICA ELIZABETH LANCASTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/30/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4545 42ND ST NW STE 105
WASHINGTON DC
20016-4623
US
IV. Provider business mailing address
1925 SAVANNAH TER SE APT D
WASHINGTON DC
20020-2147
US
V. Phone/Fax
- Phone: 202-450-1429
- Fax:
- Phone: 202-607-7216
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | LG200004543 |
| License Number State | DC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: