MEDICARE: RHONDA BASKERVILLE

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	171M00000X	Case Manager/Care Coordinator
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1841680592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA BASKERVILLE

Provider Business Mailing Address
First Line	:	3000 PENNSYLVANIA AVE SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-3718
Country	:	US
Telephone Number	:	202-581-0490
Fax Number	:

Provider Business Practice Location Address
First Line	:	1418 MARION BARRY AVE SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5615
Country	:	US
Telephone Number	:	202-796-5000
Fax Number	:

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

Provider Enumeration Date	:	02/03/2015
Last Update Date	:	01/13/2026

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Directions to “ RHONDA BASKERVILLE ” Practice Location

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