Provider Demographics
NPI:1275721599
Name:PENTZ, NANCY K (LICSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:K
Last Name:PENTZ
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 L ST NW STE 503
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5667
Mailing Address - Country:US
Mailing Address - Phone:202-728-1166
Mailing Address - Fax:202-728-0560
Practice Address - Street 1:1660 L ST NW STE 503
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5667
Practice Address - Country:US
Practice Address - Phone:202-728-1166
Practice Address - Fax:202-728-0560
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC00315481041C0700X
MD054101041C0700X
VA00940013091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical