Jose Antonio Segura, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50078245 Issued in DC

Practice address

1200 N Howard St
Alexandria, VA 22304-1634

Phone

(703) 535-5568

NPI assigned

May 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bread for the City,Inc.Group PAC ID 7719042902, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bread for the City,Inc.

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1699950311
  Medicare reassignment Care Compare group NPD
• Neighborhood Health

  dba Engleside

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
  • NPI 1154674026

  DC

  Medicare reassignment NPD
• Neighborhood Health

  dba Neighborhood Health at Arlington Pediatric Center

  • Federally Qualified Health Center (FQHC)
  • Arlington, VA
  • NPI 1225899719
  NPD
• Neighborhood Health

  dba Neighborhood Health at South County Center

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
  • NPI 1710544283
  NPD
• Bread for the City Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1013683762
  NPD
• Fairfax County, Virginia

  dba Fairfax-Falls Church Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfax, VA
  • NPI 1154356244
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1265699169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 E ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032221",
            "telephone_number": "202-577-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N HOWARD ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041634",
            "telephone_number": "703-535-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwesi A Sefa, PHARMD
• Jami Segal, MS EDS
• Jonathan Ira Segal, MD
• Christopher Seger, APRN, FNP-C
• Gilead Segev
• Billy K Sekyi
• Selah Solutions, LLC
• Seldam Healthcare, LLC
• Select Physical Therapy Holdings Inc (Select Physical Therapy)
• Kyla Marcia Sellers

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.

Verify at the official NPI Registry.