Jermaine Wyatt, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

140 Michigan Ave NE
#T12
Washington, DC 20017-1039

Phone

(202) 569-9539

NPI assigned

Feb 14, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Howard University College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Paving the Way Multi Service InstituteGroup PAC ID 3476868258, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Paving the Way Multi Service Institute

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1407249378
  Medicare reassignment Care Compare group NPD
• US Helping US, People Into Living, Inc.

  • Clinical Social Worker
  • Washington, DC
  • NPI 1497925697
  NPD
• One Care DC Inc

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1649769662
  NPD (past)

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

{
    "created_epoch": "1234569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1235378258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 12TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094422",
            "telephone_number": "202-446-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MICHIGAN AVE NE",
            "address_2": "#T12",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200171039",
            "telephone_number": "202-569-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "JERMAINE",
        "name_prefix": "Dr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-14",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariatu Wurie
• Carolyn Wurm, PH.D.
• Wy Carson Company
• Jessica Evangeline Wyant, MD
• Courtland Wyatt, P.T.
• Kristin Wyatt, LPC
• Tiffany Wyatt
• Roquell E. Wyche, MD
• Terrell David Wyche, PH.D.
• Bernadette Marie Wyckoff, PT

• 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 Jun 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.