MRS. ANGELA DENISE JEFFERSON


Address: 1200 1st St Ne, Washington, DC 20002-3361
Phone: 2024424800

MRS. ANGELA DENISE JEFFERSON (NPI# 1891122982) 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) 1891122982
Entity Type Individual
Full Name MRS. ANGELA DENISE JEFFERSON
Practice Address 1200 1st St Ne
Washington
DC 20002-3361
Mailing Address 6420 Symposium Way
Clinton
MD 20735-3862
Practice Telephone 2024424800
Mailing Telephone 3018680516
Enumeration Date 2013-10-03
Last Update Date 2018-09-27
NPI Deactivation Date 03/02/2018
NPI Reactivation Date 2018-09-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
DC Behavioral Health & Social Service Providers

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Office Location

Street Address 1200 1ST ST NE
City WASHINGTON
State DC
Zip Code 20002-3361

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1861040222 Rebecca Knight Social Worker 1200 1st St Ne, Washington, DC 20002-3361 2019-08-29
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1255986774 Nnena Grace Okona Psychologist 3301 Wheeler Rd Se, Washington, DC 20032-4129 2019-08-02
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1649750910 Jared Leppert Psychologist 4601 Texas Ave Se, Washington, DC 20019-4121 2018-08-16
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1851828982 Linda Romano Psychologist 801 7th St Sw, Washington, DC 20024-2473 2017-05-19
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Competitor

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City WASHINGTON
Zip Code 20002

Improve Information

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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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