Provider Demographics
NPI:1538708235
Name:ARTIS, COURTNEY (LICSW)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:ARTIS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 M ST NW STE 200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-5225
Mailing Address - Country:US
Mailing Address - Phone:202-706-7603
Mailing Address - Fax:202-318-4005
Practice Address - Street 1:1224 M ST NW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-5225
Practice Address - Country:US
Practice Address - Phone:202-706-7603
Practice Address - Fax:202-318-4005
Is Sole Proprietor?:No
Enumeration Date:2019-12-27
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500820961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical