Individual provider Active NPI

Lynne G Greenwald, MSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1275032708
Registry record updated Feb 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC300489 Issued in DC
Practice address
4600 Connecticut Ave NW Ste 223
Washington, DC 20008-5702
Phone
(202) 321-9015
NPI assigned
Feb 10, 2018
Last updated
Feb 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2018

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 LC300489 DC Primary

Addresses

Primary practice location

4600 Connecticut Ave NW Ste 223
Washington, DC 20008-5702

Mailing address

4600 Connecticut Ave NW Ste 223
Washington, DC 20008-5702
Phone (202) 321-9015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 5, 2023 through Apr 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC300489DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1518220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518220800000",
    "number": "1275032708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 CONNECTICUT AVE NW STE 223",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085702",
            "telephone_number": "202-321-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 CONNECTICUT AVE NW STE 223",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085702",
            "telephone_number": "202-321-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "LYNNE",
        "middle_name": "G",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-10",
        "last_updated": "2018-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC300489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.