Jacquelyn Michelle Horton, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

50076777 Issued in DC

Practice address

1160 Varnum St NE Ste 110
Washington, DC 20017-2106

Phone

(202) 854-4090

Fax

(202) 854-4093

NPI assigned

Jul 16, 2012

Sex

Female

Sole proprietor

No

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

Howard University College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Health Services IncGroup PAC ID 4385541622, 17 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 and National Provider Directory roles.

• Providence Health Services Inc

  • Family Medicine Physician
  • Washington, DC
  • NPI 1669453809
  Medicare reassignment Care Compare group NPD
• Providence Health Services, Inc

  • Physiological Laboratory
  • Washington, DC
  • NPI 1598313595
  NPD

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1295080240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 4TH ST NW",
            "address_2": "1B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011822",
            "telephone_number": "202-390-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE STE 110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172106",
            "telephone_number": "202-854-4090",
            "fax_number": "202-854-4093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5236 44th St NW",
            "address_2": "#4",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200152135",
            "country_code": "US",
            "telephone_number": "202-237-1196",
            "fax_number": "202-237-1198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORTON",
        "first_name": "JACQUELYN",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "50076777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Horslen, MD
• Devonne Horsley
• Kathlene Joy Horsley, PA-C
• Courtney Lee Horton, MD
• Gwendolyn Horton, M.S.W.
• Keith Marshall Horton, MD
• Lauren Horton, LPC
• Sara Horton, MD
• Wayne Thomas Horton
• Devyn Taylor Horveath

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.