Provider Demographics
NPI:1740337922
Name:STILLINGS, SIMA H (DLSW)
Entity type:Individual
Prefix:MR
First Name:SIMA
Middle Name:H
Last Name:STILLINGS
Suffix:
Gender:M
Credentials:DLSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 CONNECTICUT AVE NW
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036
Mailing Address - Country:US
Mailing Address - Phone:202-261-6533
Mailing Address - Fax:202-261-6537
Practice Address - Street 1:1250 CONNECTICUT AVE NW
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036
Practice Address - Country:US
Practice Address - Phone:202-261-6533
Practice Address - Fax:202-261-6537
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500777051041C0700X
DC501982174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No174400000XOther Service ProvidersSpecialist