Individual provider Active NPI

Tamara Ince, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1386079929
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50079905 Issued in DC
Practice address
1717 Rhode Island Ave Ste 620
Washington, DC 20036
Phone
(833) 968-8255
Fax
(888) 551-5262
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15643 MD
Clinical Social Worker 1041C0700X 0904008551 VA
Clinical Social Worker 1041C0700X LC50079905 DC Primary

Addresses

Primary practice location

1717 Rhode Island Ave Ste 620
Washington, DC 20036

Mailing address

1629 K St NW Ste 300
Washington, DC 20006-1631
Phone (202) 553-8325

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
I20140113000144 DC Practitioner - Clinical Social Worker 4183852445 Reassigns benefits to 1 organization
Practice locations: Washington, DC; Alexandria, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1629 K St NW
Suite 300
Washington, DC 20006-1631
Phone (202) 553-8325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008551VAMDClinical Social Worker
15643MDMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ince Counseling and Consulting LLC Clinical CurrentSince Mar 1, 2020 Accepting new patients

Locations

1717 Rhode Island Ave NW
Ste 620
Washington, DC 20036
Phone (202) 553-8325

1629 K St NW
Ste 300
Washington, DC 20006
Phone (202) 922-6630

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.

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1386079929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 K ST NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061631",
            "telephone_number": "202-553-8325",
            "fax_number": "888-551-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 RHODE ISLAND AVE STE 620",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20036",
            "telephone_number": "833-968-8255",
            "fax_number": "888-551-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCE",
        "first_name": "TAMARA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15643",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008551",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.