Individual provider Active NPI

Suzanne Marie Dunn

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1578977591
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080987 Issued in DC
Practice address
1712 Eye St NW
Suite 510
Washington, DC 20006-3702
Phone
(571) 882-9743
NPI assigned
Jun 18, 2014
Last updated
Apr 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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 LC50080987 DC Primary

Addresses

Primary practice location

1712 Eye St NW
Suite 510
Washington, DC 20006-3702

Mailing address

1712 Eye St NW
Suite 510
Washington, DC 20006-3702
Phone (571) 882-9743

Other identifiers 2

IdentifierTypeStateIssuer
60279085MedicaidDC
60279093MedicaidDC

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
I20170410000509 DC Practitioner - Clinical Social Worker 1355627217 Practice locations: Falls Church, VA; Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1712 Eye St NW
Suite 510
Washington, DC 20006-3731
Phone (703) 344-6863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50080987DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Therapeutic Alliance Clinical PastSince Jan 11, 2017 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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1578977591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 EYE ST NW",
            "address_2": "SUITE 510",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063702",
            "telephone_number": "571-882-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 EYE ST NW",
            "address_2": "SUITE 510",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063702",
            "telephone_number": "571-882-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60279085",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60279093",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.