Individual provider Active NPI

Janice Berry Edwards, DSW DOCTORATE OF SOC

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1457323172
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5225 Wisconsin Ave NW
Suite 104
Washington, DC 20015-2014
Phone
(202) 244-9000
Fax
(202) 244-1610
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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 Primary

Addresses

Primary practice location

5225 Wisconsin Ave NW
Suite 104
Washington, DC 20015-2014

Mailing address

5225 Wisconsin Ave NW
Suite 104
Washington, DC 20015-2014
Phone (202) 244-9000

Other identifiers 1

IdentifierTypeStateIssuer
F063OtherDCBLUE CROSS AND BLUE SHIEL

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
I20090204000437 DC Practitioner - Clinical Social Worker 0042374100 Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5028 Wisconsin Ave
Suite 400
Washington, DC 20016-4118
Phone (202) 244-5145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1457323172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 WISCONSIN AVE NW",
            "address_2": "SUITE 104",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152014",
            "telephone_number": "202-244-9000",
            "fax_number": "202-244-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 WISCONSIN AVE NW",
            "address_2": "SUITE 104",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152014",
            "telephone_number": "202-244-9000",
            "fax_number": "202-244-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JANICE",
        "middle_name": "BERRY",
        "name_prefix": "Dr.",
        "credential": "DSW DOCTORATE OF SOC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "F063",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.