Individual provider Active NPI

Jamison Deleon, LICSW, LCSW-C, LCSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1477892602
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080268 Issued in DC
Practice address
2639 Connecticut Ave NW
Suite 251
Washington, DC 20008-1537
Phone
(877) 674-2843
Fax
(877) 674-2843
NPI assigned
Feb 7, 2013
Last updated
May 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904009930 VA
Clinical Social Worker 1041C0700X 18283 MD
Clinical Social Worker 1041C0700X LC50080268 DC Primary

Addresses

Primary practice location

2639 Connecticut Ave NW
Suite 251
Washington, DC 20008-1537

Mailing address

2639 Connecticut Ave NW
Suite 251
Washington, DC 20008-1537
Phone (877) 674-2843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC50080268DCMDClinical Social Worker
0904009930VAMDClinical Social Worker
18283MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Image Therapy Center Intensive Clinical PastSince Mar 27, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494979200000",
    "number": "1477892602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 CONNECTICUT AVE NW",
            "address_2": "SUITE 251",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081537",
            "telephone_number": "877-674-2843",
            "fax_number": "877-674-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 CONNECTICUT AVE NW",
            "address_2": "SUITE 251",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081537",
            "telephone_number": "877-674-2843",
            "fax_number": "877-674-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "JAMISON",
        "name_prefix": "Mr.",
        "credential": "LICSW, LCSW-C, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-07",
        "last_updated": "2017-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009930",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18283",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080268",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 17, 2017; 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.