Andre Lamont Thurmond

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LG200003205 Issued in DC

Practice address

1430 K St NW Ste 102
Washington, DC 20005-2504

Phone

(703) 522-2722

NPI assigned

Jan 16, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1093526337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 K ST NW STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052504",
            "telephone_number": "703-522-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 K ST NW STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052504",
            "telephone_number": "703-522-2722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Rhode Island Ave NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200181802",
            "country_code": "US",
            "telephone_number": "202-832-1698",
            "fax_number": "202-832-0980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURMOND",
        "first_name": "ANDRE",
        "middle_name": "LAMONT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG200003205",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive: Counseling and Psychological Services
• Mary Tessie Thullah Bangura, DNP-PMHNP
• Thurgood Marshall Academy PCHS
• Purvis Thurman Jr.
• Alexis Maria Thurmond, MD
• Jessica Jean Thurn, AG-ACNP
• Wanda Lateyce Thurston Gnahoui, MD
• Bonnie-Jean Thurston-Snoha, PHD
• David Paul Thurston
• Evita Thurston

• Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.