NPIMap

Organization Active NPI

Patricia E.Petrash L.I.C.S.W.,Inc.

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1215159686
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00300710 Issued in DC
Legal business name
PATRICIA E.PETRASH L.I.C.S.W.,INC.
Practice address
1700 17TH St.N.W.
Suite 201
Washington, DC 20009-4001
Phone
(202) 328-2283
Fax
(202) 328-2189
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia Petrash, MSWNPI 1871713230
Title
President
Phone
(202) 328-2283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 00300710 DC Primary

Addresses

Primary practice location

1700 17TH St.N.W.
Suite 201
Washington, DC 20009-4001

Mailing address

1700 17TH St.N.W.
Suite 201
Washington, DC 20009-4001
Phone (202) 328-2283

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215159686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 17TH ST.N.W.",
            "address_2": "SUITE 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094001",
            "telephone_number": "202-328-2283",
            "fax_number": "202-328-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 17TH ST.N.W.",
            "address_2": "SUITE 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094001",
            "telephone_number": "202-328-2283",
            "fax_number": "202-328-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA E.PETRASH L.I.C.S.W.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRASH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-328-2283",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "00300710",
            "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 Aug 22, 2020; 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.