Individual provider Active NPI

Earlene Kimberly Dunbar, LICSW, LCSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1114397767
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080405 Issued in DC
Practice address
64 New York Ave NE FL 3
Washington, DC 20002-3328
Phone
(202) 809-5471
NPI assigned
Sep 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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 LC50080405 DC Primary

Addresses

Primary practice location

64 New York Ave NE FL 3
Washington, DC 20002-3328

Mailing address

227 W 4TH St
Suite 228
Charlotte, NC 28202-1545
Phone (704) 606-8193

Other names 1

  • Ms. E Kimberly Dunbar Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50080405DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Behavioral Intervention Rehabilitation and Development Project LLC Clinical Current Accepting new patients
The Behavioral Intervention Rehabilitation and Development Project LLC Clinical Current Accepting new patients

Locations

6710 Oxon Hill Rd
Ste 210
Oxon Hill, MD 20745
Phone (202) 670-4546

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": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1114397767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W 4TH ST",
            "address_2": "SUITE 228",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021545",
            "telephone_number": "704-606-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 NEW YORK AVE NE FL 3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023328",
            "telephone_number": "202-809-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "EARLENE",
        "middle_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E",
            "last_name": "DUNBAR",
            "middle_name": "KIMBERLY",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 18, 2022; 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.