Individual provider Active NPI

Kamilah Marie Woodson, PH.D

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1033401781
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1000346 Issued in DC
Practice address
Howard University School of Education
2441 4TH Street, NW
Washington, DC 20059-0001
Phone
(202) 806-7350
NPI assigned
May 12, 2011
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1000346 DC Primary
School Psychologist 103TS0200X 1000346 DC

Addresses

Primary practice location

Howard University School of Education
2441 4TH Street, NW
Washington, DC 20059-0001

Mailing address

2441 4TH Street, NW
Howard University School of Education
Washington, DC 20059
Phone (202) 806-7350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120723000518 DC Practitioner - Clinical Psychologist 9133385982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 Mercantile LN
Suite 252
Upper Marlboro, MD 20774-5333
Phone (202) 544-5440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1000346DCMDSchool Psychologist
06137MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Capitolhill Consortium for Counseling & Consultation, LLC CurrentSince Aug 25, 2025 Accepting new patients
F.a.C.T.S.,PLLC Clinical PastSince Aug 25, 2025 Accepting new patients

Locations

650 Pennsylvania Ave SE
Ste 440
Washington, DC 20003
Phone (202) 674-1227

1400 Mercantile Ln
Ste 252
Upper Marlboro, MD 20774
Phone (240) 533-1534

1235 S Clark St
Ste 510
Arlington, VA 22202
Phone (703) 413-3028

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDGCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1033401781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 4TH STREET, NW",
            "address_2": "HOWARD UNIVERSITY SCHOOL OF EDUCATION",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20059",
            "telephone_number": "202-806-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOWARD UNIVERSITY SCHOOL OF EDUCATION",
            "address_2": "2441 4TH STREET, NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200590001",
            "telephone_number": "202-806-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "KAMILAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "1000346",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "DC",
            "license": "1000346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.