Individual provider Active NPI

Kathryn Tsagronis

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1245848829
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50082761 Issued in DC
Practice address
1010 Wisconsin Ave NW Ste 340
Washington, DC 20007-3680
Phone
(571) 970-8257
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 123056 MA
Clinical Social Worker 1041C0700X 223921 MA
Clinical Social Worker 1041C0700X LC50082761 DC Primary

Addresses

Primary practice location

1010 Wisconsin Ave NW Ste 340
Washington, DC 20007-3680

Mailing address

2574 S Arlington Mill Dr Apt a
Arlington, VA 22206-4082
Phone (571) 970-8257

Other practice location 1

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2059

Other practice location 2

2574 S Arlington Mill Dr Apt A
Arlington, VA 22206-4082
Phone (571) 970-8257

Other identifiers 3

IdentifierTypeStateIssuer
LC50082761OtherDCNASW
123056OtherMANASW
223921OtherMANASW

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

LicenseStateTypeSpecialty
123056MAMDClinical Social Worker
223921MAMDNeuroradiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1245848829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2574 S ARLINGTON MILL DR APT A",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222064082",
            "telephone_number": "571-970-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WISCONSIN AVE NW STE 340",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073680",
            "telephone_number": "571-970-8257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-726-2059",
            "fax_number": "617-724-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2574 S Arlington Mill Dr Apt A",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222064082",
            "country_code": "US",
            "telephone_number": "571-970-8257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSAGRONIS",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123056",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "223921",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NASW",
            "identifier": "LC50082761",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NASW",
            "identifier": "123056",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NASW",
            "identifier": "223921",
            "state": "MA"
        }
    ],
    "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 May 25, 2022; 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.