MEDICARE: FAMILY MATTERS OF GREATER WASHINGTON

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	101YM0800X	Mental Health Counselor
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	400215000304	DC
3	251S00000X	Community/Behavioral Health Agency		MD
4	251S00000X	Community/Behavioral Health Agency		DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	037731700	OTHER	DC	DC MHRS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346378577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY MATTERS OF GREATER WASHINGTON

Provider Business Mailing Address
First Line	:	1301 PENNSYLVANIA AVE SE
Second Line	:	200
City	:	WASHINGTON
State	:	DC
Zip	:	20003-3027
Country	:	US
Telephone Number	:	202-548-7308
Fax Number	:	202-518-8924

Provider Business Practice Location Address
First Line	:	1301 PENNSYLVANIA AVE SE STE 200
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-3027
Country	:	US
Telephone Number	:	202-548-7308
Fax Number	:	202-518-8824

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	TONYA SMALLWOOD
Credential	:
Telephone Number	:	202-289-1510

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	07/21/2022

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Directions to “FAMILY MATTERS OF GREATER WASHINGTON ” Practice Location

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