Provider Demographics
NPI:1871703181
Name:LITHGOW, NANCY L (RN, LICSW)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:L
Last Name:LITHGOW
Suffix:
Gender:F
Credentials:RN, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 6TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-6019
Mailing Address - Country:US
Mailing Address - Phone:202-543-7700
Mailing Address - Fax:202-543-7700
Practice Address - Street 1:101 6TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-6019
Practice Address - Country:US
Practice Address - Phone:202-543-7700
Practice Address - Fax:202-543-7700
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC003008481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC001719Medicare ID - Type Unspecified