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General NPI Number Information
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NPI Number | 1003406315
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Entity Type | Individual
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Provider Name | LILI JOHNSON LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 915 RHODE ISLAND AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20001-4153
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Country | US
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Telephone | 202-560-0349
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Fax |
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Provider Business Mailing Address
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Address Line | 441 21ST ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-4705
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Country | US
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Telephone | 202-341-6761
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Fax | 202-644-7024
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200003225
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License Number State | DC
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