MEDICARE: MRS. BETTY WENGER GOOD-WHITE LICSW MSW

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	1041C0700X	Clinical Social Worker	LC301816	DC
2	1041C0700X	Clinical Social Worker	05370	MD
3	1041C0700X	Clinical Social Worker	0904003159	VA

General Provider Information

NPI Number	:	1720152598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BETTY WENGER GOOD-WHITE LICSW MSW

Provider Business Mailing Address
First Line	:	KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
Second Line	:	2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNIT 6 W
City	:	ROCKVILLE
State	:	MD
Zip	:	20852-4908
Country	:	US
Telephone Number	:	301-816-6660
Fax Number	:	301-816-6308

Provider Business Practice Location Address
First Line	:	2100 W PENNSLYVANIA AVE, NW
Second Line	:	KAISER PERMANENTE
City	:	WASHINGTON
State	:	DC
Zip	:	20037-3202
Country	:	US
Telephone Number	:	202-721-2131
Fax Number	:	202-721-2121

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	01/30/2012

Similar Medicare Providers

1477576791 — VALERIE CARREGAL AUGELLO D.O.
Practice Location Address:

2100 PENNSYLVANIA AVE NW STE A
WASHINGTON, DC
20037-3202

Practice Phone: 202-861-8888
Practice Fax: 202-861-8887

1558461012 — NICOLE F KOBA OD
Practice Location Address:

2100 PENNSYLVANIA AVE NW , 4TH FLOOR
WASHINGTON, DC
20037-3202

Practice Phone: 202-529-5200
Practice Fax: 202-269-3462

1407922750 — DR. SILVIA PICCIAFUOCO MD
Practice Location Address:

2100 PENNSYLVANIA AVE NW , KAISER PERMANENTE
WASHINGTON, DC
20037-3202

Practice Phone: 202-872-7176
Practice Fax: 202-872-7133

1730240920 — DR. AMY LYNNE BANULIS MD
Practice Location Address:

2100 PENNSYLVANIA AVE NW , WEST END MEDICAL CENTER
WASHINGTON, DC
20037-3202

Practice Phone: 202-872-7000
Practice Fax: 202-872-7212

1396808416 — JANTINA VANDERLINDE MD MPH
Practice Location Address:

2100 PENNSYLVANIA AVE NW , KAISER PERMANENTE WEST END MEDICAL CENTER
WASHINGTON, DC
20037-3202

Practice Phone: 703-237-4000
Practice Fax:

1124182274 — MRS. CAROLYN H LONG CRNP
Practice Location Address:

2100 W PENNSYLVANIA AVE
WASHINGTON, DC
20037-3202

Practice Phone: 202-872-7232
Practice Fax: 202-872-7212

Directions to “ MRS. BETTY WENGER GOOD-WHITE LICSW MSW” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.