Individual provider Active NPI

Rosemary Fajemisin, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1093418709
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50082348 Issued in DC
Practice address
2759 Martin Luther King Jr Ave SE
Washington, DC 20032-2646
Phone
(202) 827-9961
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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 LC50082348 DC Primary

Addresses

Primary practice location

2759 Martin Luther King Jr Ave SE
Washington, DC 20032-2646

Mailing address

5328 Crittenden St
Hyattsville, MD 20781-2633
Phone (301) 755-4188

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
I20230505000048 DC Practitioner - Clinical Social Worker 7810352358 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50082348DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Health Services, LLC CurrentSince Jan 3, 2023 Accepting new patients
Glowfield Community Services Clinical CurrentSince Mar 26, 2023 Accepting new patients

Locations

2759 Martin Luther King Jr Ave SE
Washington, DC 20032
Phone (202) 827-9961

2759 Martin Luther King Jr Ave SE
Ste 301
Washington, DC 20032
Phone (202) 827-9961

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": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1093418709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5328 CRITTENDEN ST",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207812633",
            "telephone_number": "301-755-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322646",
            "telephone_number": "202-827-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJEMISIN",
        "first_name": "ROSEMARY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.