Active NPI
Larissa Linette Smallwood
- Case Manager/Care Coordinator
- Washington, DC
National Provider Identifier
1700596202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2918 Minnesota Ave SE
Washington, DC 20019-1127 - Phone
- (202) 469-0229
- NPI assigned
- Nov 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | DC | ||
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | DC | Primary |
Addresses
Primary practice location
2918 Minnesota Ave SE
Washington, DC 20019-1127
Mailing address
1160 Varnum St NE Ste 215
Washington, DC 20017-2106
Phone (202) 469-0229
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1700596202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 VARNUM ST NE STE 215",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172106",
"telephone_number": "202-469-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 MINNESOTA AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200191127",
"telephone_number": "202-469-0229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLWOOD",
"first_name": "LARISSA",
"middle_name": "LINETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-25",
"last_updated": "2023-06-16",
"certification_date": "2022-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.