Individual
MRS. BETTY WENGER GOOD-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW MSW
Contact information
Practice address
2100 W PENNSLYVANIA AVE, NW, KAISER PERMANENTE, WASHINGTON, DC 20037-3202
(202) 721-2131
(202) 721-2121
Mailing address
KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP, 2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNIT 6 W, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
05370
MD
1041C0700X
Clinical Social Worker
0904003159
VA
1041C0700X
Clinical Social Worker
Primary
LC301816
DC
Other
Enumeration date
11/20/2006
Last updated
01/30/2012
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