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NPI Code Detail

MEDICARE: DONALD RICHARD PILSON JR. MSSW

MEDICARE: DONALD RICHARD PILSON JR. MSSW
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
11041C0700XClinical Social WorkerLC302362DC

General Provider Information

NPI Number : 1770859258
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD RICHARD PILSON JR. MSSW
Provider Business Mailing Address
First Line : 2918 MINNESOTA AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-1127
Country : US
Telephone Number : 202-629-2964
Fax Number : 202-629-4953
Provider Business Practice Location Address
First Line : 2918 MINNESOTA AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-1127
Country : US
Telephone Number : 202-629-2964
Fax Number : 202-629-4953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2012
Last Update Date : 03/28/2012

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