Individual provider Active NPI

Ellainna I Hong, LICSW, LCSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1679290183
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080522 Issued in DC
Practice address
333 Hawaii Ave NE
Washington, DC 20011-4966
Phone
(202) 232-4270
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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 LC50080522 DC Primary

Addresses

Primary practice location

333 Hawaii Ave NE
Washington, DC 20011-4966

Mailing address

7473 Digby GRN
Alexandria, VA 22315-5220
Phone (202) 489-2557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620000088 DC Practitioner - Clinical Social Worker 3870951189 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50080522DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Love Your Life Healthcare Inc CurrentSince Feb 3, 2023 Accepting new patients

Locations

333 Hawaii Ave NE
Ste 100
Washington, DC 20011
Phone (202) 232-4270

333 Hawaii Ave NE
Washington, DC 20011
Phone (202) 232-4270

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1679290183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7473 DIGBY GRN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155220",
            "telephone_number": "202-489-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 HAWAII AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114966",
            "telephone_number": "202-232-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "ELLAINNA",
        "middle_name": "I",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.