Healthcare Provider Details

I. General information

NPI: 1679783757
Provider Name (Legal Business Name): JOHN MILNER PLEASANT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3043 MILITARY RD NW
WASHINGTON DC
20015-1343
US

IV. Provider business mailing address

3043 MILITARY RD NW
WASHINGTON DC
20015-1343
US

V. Phone/Fax

Practice location:
  • Phone: 202-966-4752
  • Fax: 202-966-4788
Mailing address:
  • Phone: 202-966-4752
  • Fax: 202-966-4788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3702
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC00300520
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717000618
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: