Angela Karen Sarafin, LMFT
Individual provider Active NPI Marriage & Family Therapist · Washington, DC
NPI 1053639716 · NPPES record last updated Jun 14, 2011
Key facts
- NPI
- 1053639716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 137 (DC)
- Practice address
- 726 7TH St SE
Washington, DC 20003-2739 - Phone
- (202) 580-8492
- NPI assigned
- May 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 4, 2024 through Jan 4, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64650 | TX | MD | Clinical Social Worker |
| 137 | DC | MD | Marriage & Family Therapist |
| 201152 | TX | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 64650 | TX | |
| Marriage & Family Therapist | 106H00000X | 201152 | TX | |
| Marriage & Family Therapist | 106H00000X | 137 | DC | Yes |
Addresses
Primary practice location
726 7TH St SE
Washington, DC 20003-2739
Mailing address
425 8TH St NW
Apt 630
Washington, DC 20004-2110
Phone (202) 580-8492
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12138812 | Other | TX | CAQH |
| 8991BH | Other | TX | BLUE CROSS BLUE SHIELD |
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All providers in Washington, DC · Marriage & Family Therapist in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.