Individual provider Active NPI

Aisha M Ivey-Nixon, LCSW-C

  • Clinical Social Worker
  • Upper Marlboro, MD
National Provider Identifier
1629275904
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14637 Issued in MD
Practice address
9724 Wyman Way
Upper Marlboro, MD 20772-4658
Phone
(202) 494-5157
NPI assigned
Jun 29, 2007
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50078717 DC
Clinical Social Worker 1041C0700X 14637 MD Primary

Addresses

Primary practice location

9724 Wyman Way
Upper Marlboro, MD 20772-4658

Mailing address

2021 Ridge PL SE
Washington, DC 20020-4628
Phone (202) 494-5157

Other identifiers 2

IdentifierTypeStateIssuer
LC50078717OtherDCDC HEALTH PROFESSIONAL LICENSING
14637OtherMDMD BOARD OF SOCIAL WORK EXAMINERS

Other names 1

  • Aisha M Ivey Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50078717DCMDClinical Social Worker
14637MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling & Mentoring Services, Inc Past Accepting new patients
Community Counseling & Mentoring Services,Inc Past Accepting new patients

Organizations & group practices 2

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1629275904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 RIDGE PL SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204628",
            "telephone_number": "202-494-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9724 WYMAN WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724658",
            "telephone_number": "202-494-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY-NIXON",
        "first_name": "AISHA",
        "middle_name": "M",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078717",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC HEALTH PROFESSIONAL LICENSING",
            "identifier": "LC50078717",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "14637",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AISHA",
            "last_name": "IVEY",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.