Provider Demographics
NPI:1194599027
Name:DI PINTO, CARLA
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:DI PINTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 6TH ST SW APT 906A
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-3810
Mailing Address - Country:US
Mailing Address - Phone:703-843-0522
Mailing Address - Fax:
Practice Address - Street 1:1634 I ST NW STE 550
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-4069
Practice Address - Country:US
Practice Address - Phone:202-556-0953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSYA200001418101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health