Active NPI
Laverne Veronica Danforth, LICSW
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1508904111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LC302687
- Practice address
- 1930 Martin Luther King Jr Ave SE
Second Floor
Washington, DC 20020-7006 - Phone
- (202) 466-1640
- Fax
- (202) 610-1842
- NPI assigned
- Feb 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LC302687 | DC | Primary |
Addresses
Primary practice location
1930 Martin Luther King Jr Ave SE
Second Floor
Washington, DC 20020-7006
Mailing address
1930 Martin Luther King Jr Ave SE
Second Floor
Washington, DC 20020-7006
Phone (202) 466-1640
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC302687 | DC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508904111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 MARTIN LUTHER KING JR AVE SE",
"address_2": "SECOND FLOOR",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200207006",
"telephone_number": "202-466-1640",
"fax_number": "202-610-1842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 MARTIN LUTHER KING JR AVE SE",
"address_2": "SECOND FLOOR",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200207006",
"telephone_number": "202-466-1640",
"fax_number": "202-610-1842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANFORTH",
"first_name": "LAVERNE",
"middle_name": "VERONICA",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "LC302687",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.