Organization Active NPI

Tara Devineni, Licsw, LLC

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1720499288
Registry record updated May 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50079309 Issued in DC
Legal business name
TARA DEVINENI, LICSW, LLC
Practice address
3 Washington Cir NW
Suite 403
Washington, DC 20037-2356
Phone
(202) 810-5786
NPI assigned
May 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2014

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

Authorized official

Name
Tara Devineni, LICSW
Title
Clinical Social Worker
Phone
(202) 810-5786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LC50079309 DC Primary

Addresses

Primary practice location

3 Washington Cir NW
Suite 403
Washington, DC 20037-2356

Mailing address

3 Washington Cir NW
Suite 403
Washington, DC 20037-2356
Phone (202) 810-5786

National Provider Directory

National Provider Directory

Locations

1808 T St NW
Ofc 2
Washington, DC 20009
Phone (202) 810-5786

3 Washington Cir NW
Ste 403
Washington, DC 20037
Phone (202) 333-6483

1555 Connecticut Ave NW
Ste 200E
Washington, DC 20036
Phone (202) 618-9040

NPI Registry JSON

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

{
    "created_epoch": "1400284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400284800000",
    "number": "1720499288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON CIR NW",
            "address_2": "SUITE 403",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372356",
            "telephone_number": "202-810-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON CIR NW",
            "address_2": "SUITE 403",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372356",
            "telephone_number": "202-810-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA DEVINENI, LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-17",
        "last_updated": "2014-05-17",
        "status": "A",
        "authorized_official_last_name": "DEVINENI",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "202-810-5786",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079309",
            "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 May 17, 2014; 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.