Individual provider Active NPI

Ayana M Forbes-Perry, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1124283361
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50078416 Issued in DC
Practice address
3700 10TH St NW
Washington, DC 20010-1445
Phone
(202) 576-5138
Fax
(202) 576-5162
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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 LC50078416 DC Primary

Addresses

Primary practice location

3700 10TH St NW
Washington, DC 20010-1445

Mailing address

3700 10TH St NW
Washington, DC 20010-1445
Phone (202) 576-5138

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

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1124283361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 10TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200101445",
            "telephone_number": "202-576-5138",
            "fax_number": "202-576-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 10TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200101445",
            "telephone_number": "202-576-5138",
            "fax_number": "202-576-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES-PERRY",
        "first_name": "AYANA",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078416",
            "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 Jul 28, 2008; 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.