Healthcare Provider Details

I. General information

NPI: 1194049213
Provider Name (Legal Business Name): RUTH GICHANGAH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2010
Last Update Date: 03/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 HOWARD RD SE 2ND FLOOR
WASHINGTON DC
20020-5805
US

IV. Provider business mailing address

821 HOWARD RD SE 2ND FLOOR
WASHINGTON DC
20020-5805
US

V. Phone/Fax

Practice location:
  • Phone: 202-698-2431
  • Fax: 202-698-2466
Mailing address:
  • Phone: 202-698-2431
  • Fax: 202-698-2466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberG10516
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberLG1000417
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: