MEDICARE: MR. WASHAWN GILBERTO CASTRO LGSW

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	104100000X	Social Worker	LC200004311	DC

General Provider Information

NPI Number	:	1790478840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WASHAWN GILBERTO CASTRO LGSW

Provider Business Mailing Address
First Line	:	3210 14TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-2928
Country	:	US
Telephone Number	:	857-345-0843
Fax Number	:

Provider Business Practice Location Address
First Line	:	1427 GOOD HOPE RD SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5614
Country	:	US
Telephone Number	:	202-836-4841
Fax Number	:

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

Provider Enumeration Date	:	06/02/2023
Last Update Date	:	05/12/2026

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