Provider Demographics
NPI:1821787987
Name:HOWARD, JONATHAN RICARD (MHS,MACCCCJS, CAC)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:RICARD
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MHS,MACCCCJS, CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 NEW YORK AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1848
Mailing Address - Country:US
Mailing Address - Phone:202-269-2401
Mailing Address - Fax:
Practice Address - Street 1:6310 SKYLINE TER
Practice Address - Street 2:
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-3756
Practice Address - Country:US
Practice Address - Phone:703-405-5754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator