Active NPI
James Edward Myricks, LICSW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1316124308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC301631
- Practice address
- 201 8TH St SE
Third Floor
Washington, DC 20003-2108 - Phone
- (202) 420-9340
- NPI assigned
- Jan 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC301631 | DC | Primary |
Addresses
Primary practice location
201 8TH St SE
Third Floor
Washington, DC 20003-2108
Mailing address
427 Mellon St SE
#3
Washington, DC 20032-2613
Phone (202) 834-9683
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Family Wellness Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Management Agency
- Washington, DC
- NPI 1437534740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325203200000",
"number": "1316124308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 MELLON ST SE",
"address_2": "#3",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200322613",
"telephone_number": "202-834-9683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 8TH ST SE",
"address_2": "THIRD FLOOR",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200032108",
"telephone_number": "202-420-9340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYRICKS",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-22",
"last_updated": "2011-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC301631",
"primary": true
}
],
"identifiers": [],
"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 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.