Active NPI
Amy Anderson
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1245939990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 200002002
- Practice address
- 2600 Douglass Rd SE
Washington, DC 20020-6504 - Phone
- (205) 222-9411
- NPI assigned
- Mar 1, 2023
- Last updated
- Sep 25, 2026
- 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 | 0904016866 | VA | |
| Clinical Social Worker | 1041C0700X | 200002002 | DC | Primary |
Addresses
Primary practice location
2600 Douglass Rd SE
Washington, DC 20020-6504
Mailing address
6218 Georgia Ave NW Ste 1-740
Washington, DC 20011-5125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Howard University College of Medicine, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8095 Innovation Park Dr
BLDG C
Fairfax, VA 22031-4868
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200002002 | DC | MD | Clinical Social Worker |
| 0904016866 | VA | MD | Clinical Social Worker |
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.
-
- School Social Worker
- Washington, DC
- NPI 1336052547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1245939990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6218 GEORGIA AVE NW STE 1-740",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200115125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 DOUGLASS RD SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200206504",
"telephone_number": "205-222-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-01",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904016866",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "200002002",
"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 Sep 25, 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.