Healthcare Provider Details
I. General information
NPI: 1821352709
Provider Name (Legal Business Name): ERIKA MONIQUE BRASWELL-WRIGHT LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/26/2012
Last Update Date: 08/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 1ST ST NE FL 9
WASHINGTON DC
20002-7953
US
IV. Provider business mailing address
1200 1ST ST NE FL 9
WASHINGTON DC
20002-7953
US
V. Phone/Fax
- Phone: 202-442-4800
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 17785 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041S0200X |
| Taxonomy | School Social Worker |
| License Number | LC50079983 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: