Kevin Sean Stafford, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LC200002128 Issued in DC

Practice address

2415 Randolph St NE
Washington, DC 20018-3135

Phone

(202) 813-5661

NPI assigned

Dec 16, 2016

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Counseling Solutions, LLC

  • Mental Health Counselor
  • Landover, MD
  • NPI 1639624307

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1598209132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 PRINCE PL APT 208",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741223",
            "telephone_number": "202-813-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 RANDOLPH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183135",
            "telephone_number": "202-813-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "KEVIN",
        "middle_name": "SEAN",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-16",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "DC",
            "license": "LG50080573",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LC200002128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Stackhouse, RN
• Dora J. Stadler, MD
• Christopher Michael Stadter, LGSW
• Adam Charles Stafford, MD
• Justice Stafford
• Rebecca Stafford, M.D.
• Suzan M. Stafford, EDD
• Anola Jane Stage
• Naomi Stahl, PH.D.
• Thomas Stahl, MD

• Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.