Healthcare Provider Details

I. General information

NPI: 1902375447
Provider Name (Legal Business Name): HOPE BEAVERS LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2018
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 PENNSYLVANIA AVE SE STE 200
WASHINGTON DC
20003-2493
US

IV. Provider business mailing address

700 PENNSYLVANIA AVE SE STE 200
WASHINGTON DC
20003-2493
US

V. Phone/Fax

Practice location:
  • Phone: 240-636-0067
  • Fax:
Mailing address:
  • Phone: 240-639-4281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberLC50081339
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC50081339
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: