Provider Demographics
NPI:1831336510
Name:WINSTON DAVIS, DRUCILLA (MSW, LGSW)
Entity type:Individual
Prefix:MS
First Name:DRUCILLA
Middle Name:
Last Name:WINSTON DAVIS
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:MS
Other - First Name:DRUCILLA
Other - Middle Name:WINSTON
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LGSW
Mailing Address - Street 1:VAMC 50 IRVING ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20422-0001
Mailing Address - Country:US
Mailing Address - Phone:202-745-8000
Mailing Address - Fax:202-518-4675
Practice Address - Street 1:VAMC 50 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-0001
Practice Address - Country:US
Practice Address - Phone:202-745-8000
Practice Address - Fax:202-518-4675
Is Sole Proprietor?:No
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker