Active NPI
Sherry Edmonds-Clemons, MSW, LCSW-C
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1639281041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 07353
- Practice address
- 50 Irving St NW
Washington, DC 20422-0001 - Phone
- (301) 295-5004
- Fax
- (202) 745-8342
- NPI assigned
- Aug 31, 2006
- 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 Social Worker | 1041C0700X | 07353 | MD | Primary |
Addresses
Primary practice location
50 Irving St NW
Washington, DC 20422-0001
Mailing address
15900 Lavender Dream LN
Brandywine, MD 20613-8012
Phone (301) 782-7874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07353 | Other | MD | CERTIFIED SOCIAL WORKER-C |
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 |
|---|---|---|---|
| 07353 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1639281041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15900 LAVENDER DREAM LN",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206138012",
"telephone_number": "301-782-7874",
"fax_number": "301-295-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "204220001",
"telephone_number": "301-295-5004",
"fax_number": "202-745-8342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMONDS-CLEMONS",
"first_name": "SHERRY",
"name_prefix": "Ms.",
"credential": "MSW, LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "07353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED SOCIAL WORKER-C",
"identifier": "07353",
"state": "MD"
}
],
"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 Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.