Samuel Warren Whittaker
Samuel Warren Whittaker is a Mental Health Clinic/Center (Including Community Mental Health Center) in Accokeek, Maryland. Practices as a sole proprietor. Licensed in District of Columbia.
- Licensed in
- DC
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
104 Brighton Knoll CtAccokeek, MD 20607-2718
Phone: (202) 997-4631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X (DC) |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X · Licence 965 (DC) |
Record details
| NPI number | 1205536018 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2023 |
| Last updated in NPPES | August 21, 2023 |
| Certification date | August 21, 2023 |
| Mailing address | 104 Brighton Knoll Ct, Accokeek, MD 20607-2718 |
Other providers in Accokeek
-
The Tina Grimes Foundation Inc
16700 Tortola Dr, Accokeek, MD 20607-3362 · (240) 481-3885