1891758322 NPI number — MS. KARA PETERS VEIGAS MSW LICSW LCSWC

Table of content: MS. KARA PETERS VEIGAS MSW LICSW LCSWC (NPI 1891758322)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891758322 NPI number — MS. KARA PETERS VEIGAS MSW LICSW LCSWC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VEIGAS
Provider First Name:
KARA
Provider Middle Name:
PETERS
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW LICSW LCSWC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PETERS
Provider Other First Name:
KARA
Provider Other Middle Name:
NOELLE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW LICSW LCSWC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1891758322
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/10/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4010 HAMILTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HYATTSVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20781-1842
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-491-8536
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1633 Q ST NW
Provider Second Line Business Practice Location Address:
SUITE 210
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20009-6351
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-491-8536
Provider Business Practice Location Address Fax Number:
240-667-4768
Provider Enumeration Date:
04/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LC50078142 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X , with the licence number: 10367 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 50078142 . This is a "LICENSE NUMBER" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".




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