Active NPI
Christine Way Lynn, L I C S W
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1386793727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC301 863
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 215 625 | Other | U HLT CARE | |
| 0951 | Other | B 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LC301 863 | DC | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.