Provider Demographics
NPI:1992913081
Name:LANSING, JUDY LYNN (MSW)
Entity type:Individual
Prefix:DR
First Name:JUDY
Middle Name:LYNN
Last Name:LANSING
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2618 31ST ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-3519
Mailing Address - Country:US
Mailing Address - Phone:202-333-0761
Mailing Address - Fax:202-333-7963
Practice Address - Street 1:3 WASHINGTON CIR NW STE 405
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2362
Practice Address - Country:US
Practice Address - Phone:202-333-8034
Practice Address - Fax:202-333-7963
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC003017591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical