MEDICARE: JOANA TASI

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	LC50080556	DC

General Provider Information

NPI Number	:	1275903718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANA TASI

Provider Business Mailing Address
First Line	:	1025 CONNECTICUT AVE NW STE 1000
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-5417
Country	:	US
Telephone Number	:	240-233-6082
Fax Number	:

Provider Business Practice Location Address
First Line	:	1025 CONNECTICUT AVE NW STE 1000
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-5417
Country	:	US
Telephone Number	:	240-233-6082
Fax Number	:

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

Provider Enumeration Date	:	09/27/2015
Last Update Date	:	03/11/2019

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Directions to “ JOANA TASI ” Practice Location

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