Individual provider Active NPI

David M Facenda, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1356473466
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50077771 Issued in DC
Practice address
1701 14TH St NW
Austin Center
Washington, DC 20009-4308
Phone
(202) 939-7666
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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 LC50077771 DC Primary

Addresses

Primary practice location

1701 14TH St NW
Austin Center
Washington, DC 20009-4308

Mailing address

1701 14TH St NW
Austin Center
Washington, DC 20009-4308
Phone (202) 939-7666

Other identifiers 1

IdentifierTypeStateIssuer
022385400MedicaidDC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040311001532 DC Practitioner - Clinical Social Worker 1951290543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whitman-Walker Clinic Inc. CurrentSince Mar 30, 2017 Accepting new patients
Whitman-Walker Clinic, Inc CurrentSince Mar 30, 2017 Accepting new patients
Whitman-Walker Clinic Past Accepting new patients

Locations

1701 14th St NW
Washington, DC 20009
Phone (202) 745-7000

1734 14th St NW
Washington, DC 20009
Phone (202) 939-7801

1377 R St NW
Fl 2
Washington, DC 20009
Phone (202) 745-7000

1377 R St NW
Ste 200
Washington, DC 20009
Phone (202) 745-7000

1377 R St NW
Washington, DC 20009
Phone (202) 745-7000

1201 Sycamore Dr SE
Washington, DC 20032
Phone (202) 745-7000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1356473466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 14TH ST NW",
            "address_2": "AUSTIN CENTER",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094308",
            "telephone_number": "202-939-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 14TH ST NW",
            "address_2": "AUSTIN CENTER",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094308",
            "telephone_number": "202-939-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACENDA",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50077771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022385400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.