Healthcare Provider Details

I. General information

NPI: 1407774474
Provider Name (Legal Business Name): JOHN GEHRING LGSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 CONNECTICUT AVE NW STE 300
WASHINGTON DC
20008-1162
US

IV. Provider business mailing address

4201 CONNECTICUT AVE NW STE 300
WASHINGTON DC
20008-1162
US

V. Phone/Fax

Practice location:
  • Phone: 202-204-5026
  • Fax:
Mailing address:
  • Phone: 202-204-5026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG200005878
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: