Healthcare Provider Details

I. General information

NPI: 1477359172
Provider Name (Legal Business Name): LENNIE NAUGHTON
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2025
Last Update Date: 02/22/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 ALBEMARLE ST NW STE 500
WASHINGTON DC
20016-1856
US

IV. Provider business mailing address

4000 ALBEMARLE ST NW STE 500
WASHINGTON DC
20016-1856
US

V. Phone/Fax

Practice location:
  • Phone: 202-531-5385
  • Fax:
Mailing address:
  • Phone: 202-531-5385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLG200003041
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: