Carmenita C Spann-Clark, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50081137 Issued in DC

Practice address

5056 Kimi Gray CT SE
Washington, DC 20019-5915

Phone

(202) 556-9235

NPI assigned

Feb 4, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Social Work Consulting and Case Managment Services

  • Clinical Social Worker
  • Washington, DC
  • NPI 1265979264
  NPD (past)

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

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545609600000",
    "number": "1679011126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PELICAN GARTH",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445743",
            "telephone_number": "202-489-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5056 KIMI GRAY CT SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200195915",
            "telephone_number": "202-556-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANN-CLARK",
        "first_name": "CARMENITA",
        "middle_name": "C",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-04",
        "last_updated": "2018-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Spain, PHARMD
• Collette Spalding, M.D.
• William Granger Spangle, DMD
• Spanish Catholic Center (Catholic Charities Healthcare Network)
• Spanish Catholic Center
• Harold Renard Spann
• Herbert Matthew Spann, DDS
• Erin Sparapani, PH.D.
• Robin E Sparer, LICSW,LCSW-C
• Olivia Sparg, MA, BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.