Provider Demographics
NPI:1568692283
Name:BALDWIN, PAULETTE DINESE (LICSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:PAULETTE
Middle Name:DINESE
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7706 HANOVER PKWY APT 101
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2634
Mailing Address - Country:US
Mailing Address - Phone:240-388-2793
Mailing Address - Fax:
Practice Address - Street 1:6900 GEORGIA AVE NW
Practice Address - Street 2:BLDG 38, WARRIOR TRANSITION BRIGADE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-5001
Practice Address - Country:US
Practice Address - Phone:202-356-1012
Practice Address - Fax:202-356-2720
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD129601041C0700X
DCLC-50078161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical