Healthcare Provider Details

I. General information

NPI: 1154649473
Provider Name (Legal Business Name): JULIANA MOSS SNAPP LCSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2010
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 CONNECTICUT AVE NW STE 300W
WASHINGTON DC
20036-1125
US

IV. Provider business mailing address

2202 18TH ST NW # 244
WASHINGTON DC
20009-1813
US

V. Phone/Fax

Practice location:
  • Phone: 202-410-5677
  • Fax:
Mailing address:
  • Phone: 202-410-5677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number080372
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904010967
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC50082114
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: