Provider Demographics
NPI:1437330685
Name:ANNA LEE HOODEM
Entity type:Organization
Organization Name:ANNA LEE HOODEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:MS
Authorized Official - First Name:RANDEE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SILBERFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-650-6334
Mailing Address - Street 1:3621 ORDWAY ST NW
Mailing Address - Street 2:#460
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3175
Mailing Address - Country:US
Mailing Address - Phone:301-656-9520
Mailing Address - Fax:301-718-3633
Practice Address - Street 1:7910 WOODMONT AVE
Practice Address - Street 2:SUITE 460
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3002
Practice Address - Country:US
Practice Address - Phone:301-656-9520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG01863OtherMEDICARE DC/METRO AREA
MDG01863Medicare PIN