Individual provider Active NPI

Kevin Allen Ceckowski, SW LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1659466191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC302639 Issued in DC
Practice address
Ward 48 Nephrology Transplant Clinic Walter Reed Army
6900 Georgia Ave NW
Washington, DC 20307-5001
Phone
(202) 782-6565
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LC302639 DC Primary

Addresses

Primary practice location

Ward 48 Nephrology Transplant Clinic Walter Reed Army
6900 Georgia Ave NW
Washington, DC 20307-5001

Mailing address

2560 North Vermont St
Arlington, VA 22207
Phone (703) 469-2124

Other identifiers 1

IdentifierTypeStateIssuer
LC302639OtherDCLICSW, SOCIAL WORK

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

LicenseStateTypeSpecialty
LC302639DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659466191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 NORTH VERMONT ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22207",
            "telephone_number": "703-469-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WARD 48 NEPHROLOGY TRANSPLANT CLINIC WALTER REED ARMY",
            "address_2": "6900 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203075001",
            "telephone_number": "202-782-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECKOWSKI",
        "first_name": "KEVIN",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "SW LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC302639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW, SOCIAL WORK",
            "identifier": "LC302639",
            "state": "DC"
        }
    ],
    "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 Jul 8, 2007; 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.