Jorge Membreno, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50081143 Issued in DC

Practice address

25 Adams St NW
Washington, DC 20001-1025

Phone

(703) 623-3701

NPI assigned

Mar 13, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Matters of Greater Washington

  • Community/Behavioral Health Agency
  • Oxon Hill, MD
  • NPI 1457736555
  NPD (past)

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1447791280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ADAMS ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011025",
            "telephone_number": "703-623-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ADAMS ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011025",
            "telephone_number": "703-623-3701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Pennsylvania Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200033027",
            "country_code": "US",
            "telephone_number": "202-548-7308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEMBRENO",
        "first_name": "JORGE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-13",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Melvin
• Selena Melvin
• Enela Memaj
• Frederick Memba, HHA
• Gabriela Vivian Memba, PHD
• Sonia Membreno
• Memm'S Holistic Health and Community Services
• Maya Memolo, RN
• Mashal Ali Memon
• Clara Menacho

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.