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NPI Code Detail

MEDICARE: DANA GRIERSON

MEDICARE: DANA GRIERSON
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 WorkerLG5008318DC
21041C0700XClinical Social WorkerLC200001743DC

General Provider Information

NPI Number : 1669002366
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA GRIERSON
Provider Business Mailing Address
First Line : 5300 BLAINE ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-6665
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4801 BENNING RD SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-6145
Country : US
Telephone Number : 202-582-5285
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2020
Last Update Date : 07/17/2024

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Directions to “ DANA GRIERSON ” Practice Location

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