Individual provider Active NPI

Paul Robert Elsasser, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1083075956
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50081858 Issued in DC
Practice address
1525 14TH St NW
Washington, DC 20005-3706
Phone
(202) 939-7670
NPI assigned
Mar 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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 LC50081858 DC Primary

Addresses

Primary practice location

1525 14TH St NW
Washington, DC 20005-3706

Mailing address

1525 14TH St NW
Washington, DC 20005-3706

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
I20190319001065 DC Practitioner - Clinical Social Worker 0840530473 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50081858DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Whitman-Walker Clinic Inc. CurrentSince Jan 26, 2019 Accepting new patients
Whitman-Walker Clinic, Inc CurrentSince Jan 26, 2019 Accepting new patients

Locations

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

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

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

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

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": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1083075956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053706",
            "telephone_number": "202-939-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSASSER",
        "first_name": "PAUL",
        "middle_name": "ROBERT",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-18",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.