Individual provider Active NPI

Henrietta Bush Sawyerr

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1295164804
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC302336 Issued in DC
Practice address
4400 Iowa Ave NW
Washington, DC 20011-5604
Phone
(202) 576-6130
NPI assigned
Nov 4, 2013
Last updated
Nov 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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 LC302336 DC Primary
Clinical Social Worker 1041C0700X 07784 MD

Addresses

Primary practice location

4400 Iowa Ave NW
Washington, DC 20011-5604

Mailing address

4400 Iowa Ave NW
Washington, DC 20011-5604
Phone (202) 576-6130

Other identifiers 2

IdentifierTypeStateIssuer
07784OtherMDMARYLAND
LC302336OtherDCDISTRICT OF COLUMBIA

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
LC302336DCMDClinical Social Worker
07784MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1295164804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 IOWA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115604",
            "telephone_number": "202-576-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 IOWA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115604",
            "telephone_number": "202-576-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH SAWYERR",
        "first_name": "HENRIETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC302336",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07784",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND",
            "identifier": "07784",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DISTRICT OF COLUMBIA",
            "identifier": "LC302336",
            "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 Nov 4, 2013; 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.