Provider Demographics
NPI:1639683659
Name:HOWARD, ANNE (LICSW)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:HOWARD
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 1:1112 16TH ST NW STE 600
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-4814
Mailing Address - Country:US
Mailing Address - Phone:202-660-1319
Mailing Address - Fax:
Practice Address - Street 1:1112 16TH ST NW STE 600
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-4814
Practice Address - Country:US
Practice Address - Phone:202-660-1319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC27-09443341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC14128108OtherCAQH PROVIDER ID