Individual provider Active NPI

Sashua Pinckney, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1457747925
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080711 Issued in DC
Practice address
3300 Pennsylvania Ave SE
Washington, DC 20020-2408
Phone
(202) 878-6626
NPI assigned
Apr 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 LC50080711 DC Primary

Addresses

Primary practice location

3300 Pennsylvania Ave SE
Washington, DC 20020-2408

Mailing address

9510 Fairway Manor Ter
Upper Marlboro, MD 20772-5377
Phone (301) 893-4420

Other practice location 1

9510 Fairway Manor Ter
Upper Marlboro, MD 20772
Phone (202) 286-0488

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
I20180926001132 DC Practitioner - Clinical Social Worker 6103177407 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Umbrella Therapeutic Services, Inc. CurrentSince Nov 28, 2024 Accepting new patients
Resilient Pace, LLC Clinical Current Accepting new patients
Mbi Health Services LLC CurrentSince Jul 21, 2018 Accepting new patients

Locations

3300 Pennsylvania Ave SE
Washington, DC 20020
Phone (202) 583-1194

4130 Hunt Pl NE
Washington, DC 20019
Phone (202) 388-4320

7200 Wisconsin Ave
Ste 702
Bethesda, MD 20814
Phone (202) 215-5348

Organizations & group practices 3

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": "1428796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1457747925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 FAIRWAY MANOR TER",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725377",
            "telephone_number": "301-893-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200202408",
            "telephone_number": "202-878-6626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9510 Fairway Manor Ter",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "20772",
            "country_code": "US",
            "telephone_number": "202-286-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINCKNEY",
        "first_name": "SASHUA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-12",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.