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NPI Code Detail

MEDICARE: TATISHA WEST LGSW

MEDICARE: TATISHA WEST LGSW
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
1104100000XSocial WorkerLG50080318DC

General Provider Information

NPI Number : 1336912898
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATISHA WEST LGSW
Provider Business Mailing Address
First Line : 13632 COLGATE WAY APT 727
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-7416
Country : US
Telephone Number : 202-422-1359
Fax Number :
Provider Business Practice Location Address
First Line : 1436 U ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-3997
Country : US
Telephone Number : 202-765-3757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2023
Last Update Date : 11/28/2023

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Directions to “ TATISHA WEST LGSW” Practice Location

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