Healthcare Provider Details

I. General information

NPI: 1821113341
Provider Name (Legal Business Name): WHITMAN-WALKER CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 SYCAMORE DR SE
WASHINGTON DC
20032-5956
US

IV. Provider business mailing address

1377 R ST NW FL NW2
WASHINGTON DC
20009-6293
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-7000
  • Fax:
Mailing address:
  • Phone: 202-745-7000
  • Fax: 202-797-4412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateDC

VIII. Authorized Official

Name: MS. NASEEMA B SHAFI
Title or Position: CEO
Credential:
Phone: 202-797-3572