Healthcare Provider Details

I. General information

NPI: 1912782830
Provider Name (Legal Business Name): DONNA WRIGHT- MILLER LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 12/07/2025
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 HUNT PL NE
WASHINGTON DC
20019-3565
US

IV. Provider business mailing address

3828 10TH ST NW
WASHINGTON DC
20011-5708
US

V. Phone/Fax

Practice location:
  • Phone: 202-388-4300
  • Fax: 202-388-4339
Mailing address:
  • Phone: 202-271-2747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG102588
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: