Individual provider Active NPI

Anna Kaspark, LMSW LCSW-C LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1710358874
Registry record updated Mar 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50081734 Issued in DC
Practice address
1350 Connecticut Ave NW Ste 611
Washington, DC 20036-1764
Phone
(202) 630-8120
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2020

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 LC50081734 DC Primary

Addresses

Primary practice location

1350 Connecticut Ave NW Ste 611
Washington, DC 20036-1764

Mailing address

1350 Connecticut Ave NW Ste 611
Washington, DC 20036-1764
Phone (202) 630-8120

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
LC50081734DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kolmac Clinic, LLC Past Accepting new patients
Rock Creek Therapy PLLC PastSince Apr 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583020800000",
    "number": "1710358874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 CONNECTICUT AVE NW STE 611",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361764",
            "telephone_number": "202-630-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CONNECTICUT AVE NW STE 611",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361764",
            "telephone_number": "202-630-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPARK",
        "first_name": "ANNA",
        "credential": "LMSW LCSW-C LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081734",
            "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 Mar 1, 2020; 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.