Provider Demographics
NPI:1073249785
Name:HIGGINS, PAUL (LMSW, LGSW)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:LMSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 CHURCH ST NW APT 506
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-1854
Mailing Address - Country:US
Mailing Address - Phone:202-270-8437
Mailing Address - Fax:
Practice Address - Street 1:1555 CONNECTICUT AVE NW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1126
Practice Address - Country:US
Practice Address - Phone:202-340-2755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG200001762104100000X
MD28934104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker