Individual provider Active NPI

Christina V Hall, LICSW, LCSW-C

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1689798977
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC303649 Issued in DC
Practice address
5335 Wisconsin Ave NW Ste 440
Washington, DC 20015-2079
Phone
(202) 494-9593
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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 11215 MD
Clinical Social Worker 1041C0700X LC303649 DC Primary

Addresses

Primary practice location

5335 Wisconsin Ave NW Ste 440
Washington, DC 20015-2079

Mailing address

PO Box 61304
Potomac, MD 20859-1304
Phone (202) 494-9593

Other practice location 1

5225 Wisconsin Ave NW Ste 513
Washington, DC 20015-2024
Phone (202) 494-9593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • 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
I20040607001521 DC Practitioner - Clinical Social Worker 2769465269 Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5028 Wisconsin Ave NW
Suite 400
Washington, DC 20016-4118
Phone (202) 494-9593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11215MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1689798977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61304",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208591304",
            "telephone_number": "202-494-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 WISCONSIN AVE NW STE 440",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152079",
            "telephone_number": "202-494-9593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5225 Wisconsin Ave NW Ste 513",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200152024",
            "country_code": "US",
            "telephone_number": "202-494-9593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHRISTINA",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "LICSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11215",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC303649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.