Provider Demographics
NPI:1548397649
Name:UNITED CEREBRAL PALSY OF WASHINGTON & NO. VIRGINIA, INC.
Entity Type:Organization
Organization Name:UNITED CEREBRAL PALSY OF WASHINGTON & NO. VIRGINIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIVIGNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-269-1500
Mailing Address - Street 1:3135 8TH STREET NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-1601
Mailing Address - Country:US
Mailing Address - Phone:202-269-1500
Mailing Address - Fax:202-526-0519
Practice Address - Street 1:3135 8TH STREET NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-1601
Practice Address - Country:US
Practice Address - Phone:202-269-1500
Practice Address - Fax:202-526-0519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC030033300Medicaid
DC036484300Medicaid
DC030034100Medicaid