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NPI Code Detail

MEDICARE: JUSTINA STOKES LMSW

MEDICARE: JUSTINA STOKES LMSW
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
11041C0700XClinical Social Worker
21041C0700XClinical Social Worker26212MD

General Provider Information

NPI Number : 1134727761
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTINA STOKES LMSW
Provider Business Mailing Address
First Line : 650 PENNSYLVANIA AVE SE STE 440
Second Line :
City : WASHINGTON
State : DC
Zip : 20003-4424
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 129 LUBRANO DR STE 101
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-7566
Country : US
Telephone Number : 202-544-5440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2020
Last Update Date : 10/15/2020

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Directions to “ JUSTINA STOKES LMSW” Practice Location

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