NPIMap

Organization Active NPI

Dandelion Psychotherapy, PLLC

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1356732705
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50078381 Issued in DC
Legal business name
DANDELION PSYCHOTHERAPY, PLLC
Practice address
4000 Albemarle St NW Ste 402
Washington, DC 20016-1851
Phone
(202) 531-5385
NPI assigned
Feb 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erika Bugaj Petrova, MA, MSW, LICSWNPI 1932403847
Title
Director/Psychotherapist
Phone
(202) 531-5385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LC50078381 DC Primary

Addresses

Primary practice location

4000 Albemarle St NW Ste 402
Washington, DC 20016-1851

Mailing address

4000 Albemarle St NW Ste 402
Washington, DC 20016-1851

National Provider Directory

National Provider Directory

Locations

4000 Albemarle St NW
Ste 502
Washington, DC 20016
Phone (202) 641-5598

4000 Albemarle St NW
Ste 500
Washington, DC 20016
Phone (202) 531-5385

4000 Albemarle St NW
Ste 402
Washington, DC 20016
Phone (202) 531-5385

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1356732705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 ALBEMARLE ST NW STE 402",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200161851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 ALBEMARLE ST NW STE 402",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200161851",
            "telephone_number": "202-531-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANDELION PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "BUGAJ PETROVA",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "DIRECTOR/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "202-531-5385",
        "authorized_official_credential": "MA, MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078381",
            "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 Feb 6, 2015; 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.