Provider Demographics
NPI:1184407652
Name:ANTHONY, AHMARI MONIQUE (LGSW)
Entity type:Individual
Prefix:
First Name:AHMARI
Middle Name:MONIQUE
Last Name:ANTHONY
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 3RD ST NW APT 110
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-5667
Mailing Address - Country:US
Mailing Address - Phone:412-880-9334
Mailing Address - Fax:
Practice Address - Street 1:500 19TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4710
Practice Address - Country:US
Practice Address - Phone:202-545-3180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG200002411104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker