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NPI Code Detail

MEDICARE: MRS. VERNESSA L DICKENS

MEDICARE: MRS. VERNESSA L DICKENS
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 WorkerLC302143DC

General Provider Information

NPI Number : 1306009402
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VERNESSA L DICKENS
Provider Business Mailing Address
First Line : 1301 LENFANT SQ SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-6724
Country : US
Telephone Number : 202-584-1244
Fax Number : 202-584-1249
Provider Business Practice Location Address
First Line : 1301 LENFANT SQ SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-6724
Country : US
Telephone Number : 202-584-1244
Fax Number : 202-584-1249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2008
Last Update Date : 07/08/2008

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Directions to “ MRS. VERNESSA L DICKENS ” Practice Location

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