Provider Demographics
NPI:1194099945
Name:LIGHTFOOT, FELICIA A (MSW; LICSW; LCSW-C)
Entity type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:A
Last Name:LIGHTFOOT
Suffix:
Gender:F
Credentials:MSW; LICSW; LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6624 1ST ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2126
Mailing Address - Country:US
Mailing Address - Phone:202-413-8668
Mailing Address - Fax:
Practice Address - Street 1:6624 1ST ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2126
Practice Address - Country:US
Practice Address - Phone:202-413-8668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-25
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD090351041C0700X
DCLC3021871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical