Individual provider Active NPI

Adam Crawford Chavis, LGSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1053981175
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LG50083752 Issued in DC
Practice address
651 Pennsylvania Ave SE Ste 1
Washington, DC 20003-6302
Phone
(910) 476-1657
NPI assigned
Jun 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LG50083752 DC Primary

Addresses

Primary practice location

651 Pennsylvania Ave SE Ste 1
Washington, DC 20003-6302

Mailing address

2500 Wisconsin Ave NW Apt 718
Washington, DC 20007-4522
Phone (910) 476-1657

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
I20240625002483 DC Practitioner - Clinical Social Worker 4284177759 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG50083752DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Whitman-Walker Clinic, Inc CurrentSince Apr 15, 2024 Accepting new patients
Whitman-Walker Clinic Inc. CurrentSince Apr 15, 2024 Accepting new patients

Locations

1201 Sycamore Dr SE
Washington, DC 20032
Phone (202) 745-7000

1377 R St NW
Fl 2
Washington, DC 20009
Phone (202) 745-7000

1701 14th St NW
Washington, DC 20009
Phone (202) 745-7000

1734 14th St NW
Washington, DC 20009
Phone (202) 939-7801

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1053981175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WISCONSIN AVE NW APT 718",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074522",
            "telephone_number": "910-476-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 PENNSYLVANIA AVE SE STE 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200036302",
            "telephone_number": "910-476-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "ADAM",
        "middle_name": "CRAWFORD",
        "name_prefix": "Mr.",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LG50083752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.