Individual
AISHA ODETTA MEERTINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C, LICSW
Contact information
Practice address
111 MICHIGAN AVE NW, OUTPATIENT PSYCHIATRY, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
111 MICHIGAN AVE NW, OUTPATIENT PSYCHIATRY, WASHINGTON, DC 20010-2916
(202) 476-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904005676
VA
1041C0700X
Clinical Social Worker
12906
MD
1041C0700X
Clinical Social Worker
Primary
LC50078049
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430026200
—
MD
05
—
E110110
—
VA
Enumeration date
08/18/2008
Last updated
01/26/2013
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