Provider Demographics
NPI:1225272438
Name:DELGIUDICE, JAMES (MSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:DELGIUDICE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 16TH ST NW
Mailing Address - Street 2:#721
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-6646
Mailing Address - Country:US
Mailing Address - Phone:202-483-6630
Mailing Address - Fax:202-671-1984
Practice Address - Street 1:1200 S ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-4328
Practice Address - Country:US
Practice Address - Phone:202-671-1176
Practice Address - Fax:202-671-1984
Is Sole Proprietor?:No
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG10005631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical