Individual
GENEDRA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPS-MH
Contact information
Practice address
2765 NAYLOR RD SE APT 109, WASHINGTON, DC 20020-7226
(202) 977-9293
Mailing address
2765 NAYLOR RD SE APT 109, WASHINGTON, DC 20020-7226
(202) 977-9293
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
175T00000X
Peer Specialist
—
DC
Other
Enumeration date
03/24/2023
Last updated
11/26/2025
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