Nakisha Alana Samuel, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50082095 Issued in DC

Practice address

915 Rhode Island Ave NW
Washington, DC 20001-4153

Phone

(202) 232-6100

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hillcrest Children'S Center

  • Adult Mental Health Clinic/Center
  • Washington, DC
  • NPI 1740319854
  NPD

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1124660600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 45TH AVE APT 517",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811661",
            "telephone_number": "347-261-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 RHODE ISLAND AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014153",
            "telephone_number": "202-232-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "NAKISHA",
        "middle_name": "ALANA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsamuel@hillcrest-dc.org",
            "affiliation": "N",
            "address_1": "5501 45th Ave Apt 517",
            "city": "Hyattsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207811661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daunett Samuda, NP
• Jeremiah I Samuel, HHA
• Karen Samuel, HHA
• Khari Ewald Samuel, PHARM.D
• Martina Adel Samuel
• Roy Samuel
• Seblewongel H Samuel
• Twana D. Samuel, HHA
• Wubeshet Samuel, PHARMD
• Amber Samuels

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.