Provider Demographics
NPI:1346378577
Name:FAMILY MATTERS OF GREATER WASHINGTON
Entity Type:Organization
Organization Name:FAMILY MATTERS OF GREATER WASHINGTON
Other - Org Name:FAMILY AND CHILD SERVICES OF WASHINGTON DC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMALLWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-289-1510
Mailing Address - Street 1:1301 PENNSYLVANIA AVE SE
Mailing Address - Street 2:200
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3027
Mailing Address - Country:US
Mailing Address - Phone:202-548-7308
Mailing Address - Fax:202-518-8924
Practice Address - Street 1:1301 PENNSYLVANIA AVE SE STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3027
Practice Address - Country:US
Practice Address - Phone:202-548-7308
Practice Address - Fax:202-518-8824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
DC251S00000X
MD251S00000X
DC400215000304261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC029974400Medicaid
DC037731700OtherDC MHRS
MD421353000Medicaid