Individual provider Active NPI

Duewa Spicer, LICSW, LMSW

  • Social Worker
  • Washington, DC
National Provider Identifier
1255797437
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
21355 Issued in MD
Practice address
1337 Pennsylvania Ave SE
Washington, DC 20003-3094
Phone
(202) 321-9715
NPI assigned
Jan 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50082009 DC
Social Worker 104100000X 21355 MD Primary

Addresses

Primary practice location

1337 Pennsylvania Ave SE
Washington, DC 20003-3094

Mailing address

1337 Pennsylvania Ave SE
Washington, DC 20003-3094
Phone (202) 321-9715

Other practice location 1

8609 2nd Ave Ste 307B
Silver Spring, MD 20910-3361
Phone (202) 816-6098

Other practice location 2

7500 Hanover Pkwy
Ste 203
Greenbelt, MD 20770-2010
Phone (240) 473-2159

Other identifiers 1

IdentifierTypeStateIssuer
1255797437OtherMDNPI

Other names 1

  • Kaya Spicer Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaya@infinitezentherapy.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC50082009DCMDClinical Social Worker
21355MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1255797437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033094",
            "telephone_number": "202-321-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033094",
            "telephone_number": "202-321-9715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8609 2nd Ave Ste 307B",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103361",
            "country_code": "US",
            "telephone_number": "202-816-6098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 Hanover Pkwy",
            "address_2": "STE 203",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207702010",
            "country_code": "US",
            "telephone_number": "240-473-2159",
            "fax_number": "240-965-9635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPICER",
        "first_name": "DUEWA",
        "credential": "LICSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082009",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "21355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255797437",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaya@infinitezentherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8609 2nd Ave Ste 307B",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209103361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAYA",
            "last_name": "SPICER",
            "credential": "LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 6, 2019; 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.