Individual provider Active NPI

Blair Dunaway Silvis, LICSW

  • Clinical Social Worker
  • Arlington, VA
National Provider Identifier
1154078046
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC200003032 Issued in DC
Practice address
2910 S Dinwiddie St
Arlington, VA 22206-1406
Phone
(678) 572-2869
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904016680 VA
Clinical Social Worker 1041C0700X LC200003032 DC Primary

Addresses

Primary practice location

2910 S Dinwiddie St
Arlington, VA 22206-1406

Mailing address

2910 S Dinwiddie St
Arlington, VA 22206-1406
Phone (678) 572-2869

Other names 1

  • Kathryn Blair Dunaway Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240502004156 DC Practitioner - Clinical Social Worker 8921448283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC200003032DCMDClinical Social Worker
0904016680VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mary'S Center for Maternal and Child Care, Inc Current Accepting new patients
Mary'S Center for Maternal and Child Care, Inc CurrentSince Mar 31, 2024 Accepting new patients
Marys Center for Maternal and Child Care Inc CurrentSince Mar 31, 2024 Accepting new patients

Locations

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

Organizations & group practices 3

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1154078046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 S DINWIDDIE ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061406",
            "telephone_number": "678-572-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 S DINWIDDIE ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061406",
            "telephone_number": "678-572-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVIS",
        "first_name": "BLAIR",
        "middle_name": "DUNAWAY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016680",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200003032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "DUNAWAY",
            "middle_name": "BLAIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.