Provider Demographics
NPI:1720415805
Name:DEAN, NORA ANNE (MSW, LICSW)
Entity Type:Individual
Prefix:MS
First Name:NORA
Middle Name:ANNE
Last Name:DEAN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 TUNLAW RD NW
Mailing Address - Street 2:APT 314
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-4809
Mailing Address - Country:US
Mailing Address - Phone:202-965-1713
Mailing Address - Fax:
Practice Address - Street 1:4430 NEWARK ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2737
Practice Address - Country:US
Practice Address - Phone:202-282-0206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3024851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical