Provider Demographics
NPI:1992192413
Name:TOUSSAINT, BEVERLY TASHARA (LCSW-C, LICSW)
Entity type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:TASHARA
Last Name:TOUSSAINT
Suffix:
Gender:F
Credentials:LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 23RD ST, NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037
Mailing Address - Country:US
Mailing Address - Phone:202-715-4000
Mailing Address - Fax:410-535-2220
Practice Address - Street 1:900 23RD ST, NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037
Practice Address - Country:US
Practice Address - Phone:202-715-4000
Practice Address - Fax:410-535-2220
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical