INNER CITY FAMILY SERVICES LLC


Address: 2307 Martin Luther King Jr Avenue Southeast, Washington, DC 20020
Phone: 2025254855

INNER CITY FAMILY SERVICES LLC (NPI# 1447556600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447556600
Entity Type Organization
Organization Name INNER CITY FAMILY SERVICES LLC
Practice Address 2307 Martin Luther King Jr Avenue Southeast
Washington
DC 20020
Mailing Address 2307 Martin Luther King Jr Ave Se
Washington
DC 20020-5813
Practice Telephone 2025254855
Mailing Telephone 2025254855
Enumeration Date 2011-02-07
Last Update Date 2020-05-07
Authorized Official Name WALTER ALLEN PITTINGER-DUNHAM (CLINICAL DIRECTOR)
Authorized Official Telephone 2023876669
Authorized Official Credential LICSW, CAC-II, M
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1639419054 Inner City Family Services LLC Clinic/Center 2307 Martin Luther King Jr Ave Se, Washington, DC 20020-5813 2013-02-21

Office Location

Street Address 2307 MARTIN LUTHER KING JR AVENUE SOUTHEAST
City WASHINGTON
State DC
Zip Code 20020

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1629628664 Rayniece Ann Johnson Technician 1641 W.st Se #303, Washington, DC 20020 2019-09-11
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1750843553 Chloe Rebecca Zaitlin Psychologist 2600 Douglass Rd. Se, Washington, DC 20020 2019-04-02
1356814974 Ferris Antwan Alston Technician 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 2019-01-07
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 20020

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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