Individual provider Active NPI

Robert B Sheavly, LICSW, DCSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1154338523
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC302241 Issued in DC
Practice address
1700 17TH St NW
Ste. 203
Washington, DC 20009-2453
Phone
(202) 232-4900
Fax
(202) 250-7990
NPI assigned
Aug 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LC302241 DC Primary

Addresses

Primary practice location

1700 17TH St NW
Ste. 203
Washington, DC 20009-2453

Mailing address

1700 17TH St NW
Ste. 203
Washington, DC 20009-2453
Phone (202) 232-4900

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC302241DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Washington Psychotherapy Associates Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154338523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 17TH ST NW",
            "address_2": "STE. 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092453",
            "telephone_number": "202-232-4900",
            "fax_number": "202-250-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 17TH ST NW",
            "address_2": "STE. 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092453",
            "telephone_number": "202-232-4900",
            "fax_number": "202-250-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAVLY",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "LICSW, DCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC302241",
            "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 8, 2007; 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.