Individual provider Active NPI

Christine Way Lynn, L I C S W

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1386793727
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC301 863 Issued in DC
Practice address
5324 39TH St NW
Washington, DC 20015-1964
Phone
(202) 244-7073
Fax
(202) 362-4852
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LC301 863 DC Primary

Addresses

Primary practice location

5324 39TH St NW
Washington, DC 20015-1964

Mailing address

5324 39TH St NW
Washington, DC 20015-1964
Phone (202) 244-7073

Other identifiers 2

IdentifierTypeStateIssuer
215 625OtherU HLT CARE
0951OtherB BS

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
I20100916001147 DC Practitioner - Clinical Social Worker 5698890499 Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

50 E St SE
Suite 300
Washington, DC 20003-2620
Phone (202) 543-4645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC301 863DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386793727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 39TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151964",
            "telephone_number": "202-244-7073",
            "fax_number": "202-362-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 39TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151964",
            "telephone_number": "202-244-7073",
            "fax_number": "202-362-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "CHRISTINE",
        "middle_name": "WAY",
        "credential": "L I C S W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC301 863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U HLT CARE",
            "identifier": "215 625",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B BS",
            "identifier": "0951",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.