Christy Lynn Wasilenko, LCSW-C, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12664 Issued in MD

Practice address

3701 Eastern Ave
Baltimore, MD 21224-4208

Phone

(443) 517-9979

NPI assigned

Sep 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1558610345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43361",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212360361",
            "telephone_number": "443-517-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244208",
            "telephone_number": "443-517-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASILENKO",
        "first_name": "CHRISTY",
        "middle_name": "LYNN",
        "credential": "LCSW-C, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079168",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tenicia S Washington, CRNP
• Tiffany Washington, PH.D.
• Tiffany Nichole Washington
• William Washington
• Huma Haider Wasi, M.D.,
• Kailey Abigail Waskall, OT
• Ena Alajbegovic Waskiewicz, M.A. CCC-SLP
• Kara Waskiewicz, PA-C
• Larry A Waskow, PA-C
• Samantha Paige Waslewski, MD

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.