Individual provider Active NPI

David Stewart Christy Jr., MSW, JD

  • Clinical Social Worker
  • Takoma Park, MD
National Provider Identifier
1255095642
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24887 Issued in MD
Practice address
24 Montgomery Ave
Takoma Park, MD 20912-4615
Phone
(202) 664-2825
NPI assigned
Oct 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24887 MD Primary

Addresses

Primary practice location

24 Montgomery Ave
Takoma Park, MD 20912-4615

Mailing address

24 Montgomery Ave
Takoma Park, MD 20912-4615
Phone (202) 664-2825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 17, 2026 through Feb 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
24887MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1255095642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MONTGOMERY AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124615",
            "telephone_number": "202-664-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MONTGOMERY AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124615",
            "telephone_number": "202-664-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTY",
        "first_name": "DAVID",
        "middle_name": "STEWART",
        "name_suffix": "Jr.",
        "credential": "MSW, JD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.