Healthcare Provider Details

I. General information

NPI: 1104975903
Provider Name (Legal Business Name): DIMENSIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5480 WISCONSIN AVE 215B
CHEVY CHASE MD
20815-3530
US

IV. Provider business mailing address

2 IRVING CT
STAFFORD VA
22556-6567
US

V. Phone/Fax

Practice location:
  • Phone: 877-367-8479
  • Fax:
Mailing address:
  • Phone: 540-657-8484
  • Fax: 540-657-8484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberID#20569XXX-117275
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberID#20569-XXX117275
License Number StateDC

VIII. Authorized Official

Name: MR. MATTHEW LEE JR.
Title or Position: CEO OF CLINICAL MANAGEMENT
Credential: MSW
Phone: 202-528-7139