MEDICARE: MS. VERONICA MICHELLE DILLARD DSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LC50082724	DC
2	1041C0700X	Clinical Social Worker	28010	MD
3	1041C0700X	Clinical Social Worker	0904009609	VA

General Provider Information

NPI Number	:	1033661434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VERONICA MICHELLE DILLARD DSW, LCSW

Provider Business Mailing Address
First Line	:	8507 OXON HILL RD STE 200
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-4774
Country	:	US
Telephone Number	:	804-714-9256
Fax Number	:	415-520-6633

Provider Business Practice Location Address
First Line	:	8507 OXON HILL RD
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-4766
Country	:	US
Telephone Number	:	804-714-9256
Fax Number	:	415-520-6633

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2016
Last Update Date	:	03/27/2024

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