Provider Demographics
NPI:1902375447
Name:BEAVERS, HOPE (LICSW)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:BEAVERS
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 1:700 PENNSYLVANIA AVE SE STE 200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-2493
Mailing Address - Country:US
Mailing Address - Phone:240-639-4281
Mailing Address - Fax:
Practice Address - Street 1:700 PENNSYLVANIA AVE SE STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2493
Practice Address - Country:US
Practice Address - Phone:240-636-0067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-14
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500813391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical