=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053906503
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE STERLING GROUP LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/06/2021
-----------------------------------------------------
Last Update Date | 03/06/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1325 G ST NW STE 500
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20005-3136
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-325-1041
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1325 G ST NW STE 500
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20005-3136
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-325-1041
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LINDSAY WASSERMAN
-----------------------------------------------------
Credential | LICSW, LCSW-C
-----------------------------------------------------
Telephone | 301-325-1041
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------