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NPI Code Detail

MEDICARE: NICOLLE CASTRO CAROCA

MEDICARE:   NICOLLE  CASTRO CAROCA
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 WorkerLG50082951DC

General Provider Information

NPI Number : 1699318832
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLLE CASTRO CAROCA
Provider Business Mailing Address
First Line : 2021 KALORAMA RD NW APT 6
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-1464
Country : US
Telephone Number : 240-899-0717
Fax Number :
Provider Business Practice Location Address
First Line : 2000 P ST NW STE 200
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-6924
Country : US
Telephone Number : 202-644-8904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2019
Last Update Date : 10/21/2019

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Directions to “ NICOLLE CASTRO CAROCA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.