Active NPI
Pandora Crumpton, MSW
- School Social Worker
- Washington, DC
National Provider Identifier
1265853006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- LG101011
- Practice address
- 301 53Rd St NE
Washington, DC 20019-6621 - Phone
- (202) 645-3188
- NPI assigned
- Dec 20, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LG101011 | DC | |
| School Social Worker | 1041S0200X | LG101011 | DC | Primary |
Addresses
Primary practice location
301 53Rd St NE
Washington, DC 20019-6621
Mailing address
2501 Good Hope Rd SE
Washington, DC 20020-3011
Phone (202) 866-7505
Other practice location 1
2501 Good Hope Rd SE
Washington, DC 20020-3011
Phone (202) 866-7505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LG101011 | Other | DC | SOCIAL WORK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LG101011 | DC | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1265853006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 GOOD HOPE RD SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200203011",
"telephone_number": "202-866-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 53RD ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200196621",
"telephone_number": "202-645-3188"
}
],
"practiceLocations": [
{
"address_1": "2501 Good Hope Rd SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200203011",
"country_code": "US",
"telephone_number": "202-866-7505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUMPTON",
"first_name": "PANDORA",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-20",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG101011",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "DC",
"license": "LG101011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK",
"identifier": "LG101011",
"state": "DC"
}
],
"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 Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.