Active NPI
Maja Guidry, MSW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1104694793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LG200002615
- Practice address
- 4545 42ND St NW Ste 200
Washington, DC 20016-4623 - Phone
- (202) 253-7958
- NPI assigned
- Dec 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LG200002615 | DC | Primary |
Addresses
Primary practice location
4545 42ND St NW Ste 200
Washington, DC 20016-4623
Mailing address
2208 Tunlaw Rd NW
Washington, DC 20007-1828
Phone (202) 253-7958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG200002615 | DC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1104694793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 TUNLAW RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200071828",
"telephone_number": "202-253-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 42ND ST NW STE 200",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164623",
"telephone_number": "202-253-7958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDRY",
"first_name": "MAJA",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-13",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LG200002615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.