Provider Demographics
NPI:1225332984
Name:WASHINGTON, LINWOOD DANIEL (BA)
Entity Type:Individual
Prefix:MR
First Name:LINWOOD
Middle Name:DANIEL
Last Name:WASHINGTON
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 S DEPEW ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-4850
Mailing Address - Country:US
Mailing Address - Phone:757-469-4967
Mailing Address - Fax:
Practice Address - Street 1:695 S DEPEW ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-4850
Practice Address - Country:US
Practice Address - Phone:720-209-7163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health