Individual provider Active NPI

Edward Ernest Honnold, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1508133414
Registry record updated Nov 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC302535 Issued in DC
Practice address
1660 L St NW
Suite 503
Washington, DC 20036-5603
Phone
(202) 302-9999
Fax
(202) 728-0560
NPI assigned
Nov 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2011

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 LC302535 DC Primary

Addresses

Primary practice location

1660 L St NW
Suite 503
Washington, DC 20036-5603

Mailing address

1660 L St NW
Suite 503
Washington, DC 20036-5603
Phone (202) 302-9999

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
I20180905002368 DC Practitioner - Clinical Social Worker 5890045264 Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1660 L St NW
Suite 503
Washington, DC 20036-5603
Phone (202) 302-9999

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": "1321747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321747200000",
    "number": "1508133414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 L ST NW",
            "address_2": "SUITE 503",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365603",
            "telephone_number": "202-302-9999",
            "fax_number": "202-728-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 L ST NW",
            "address_2": "SUITE 503",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365603",
            "telephone_number": "202-302-9999",
            "fax_number": "202-728-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONNOLD",
        "first_name": "EDWARD",
        "middle_name": "ERNEST",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-20",
        "last_updated": "2011-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC302535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.