Active NPI
Jivan S May, LCSWC
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1245331107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904006003
- Practice address
- 2331 Mill Rd
Suite 100
Alexandria, VA 22314-4677 - Phone
- (202) 257-8824
- Fax
- (703) 683-3779
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904006003 | VA | Primary |
| Clinical Social Worker | 1041C0700X | 13002 | MD |
Addresses
Primary practice location
2331 Mill Rd
Suite 100
Alexandria, VA 22314-4677
Mailing address
1315 Princess St
Alexandria, VA 22314-2211
Phone (202) 257-8824
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13002 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- jivanmay@tdh.allscriptsdirect.net
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1245331107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 PRINCESS ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142211",
"telephone_number": "202-257-8824",
"fax_number": "703-683-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2331 MILL RD",
"address_2": "SUITE 100",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144677",
"telephone_number": "202-257-8824",
"fax_number": "703-683-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAY",
"first_name": "JIVAN",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LCSWC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904006003",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "13002",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.