Individual provider Active NPI

Jennifer Herman

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1750175006
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC200002632 Issued in DC
Practice address
1151 Bladensburg Rd NE Ste 101
Washington, DC 20002-8971
Phone
(202) 529-2972
NPI assigned
Apr 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 LC200002632 DC Primary

Addresses

Primary practice location

1151 Bladensburg Rd NE Ste 101
Washington, DC 20002-8971

Mailing address

12164 Lincoln Lake Way Apt 4103
Fairfax, VA 22030-7778
Phone (909) 243-4782

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
I20260624000974 DC Practitioner - Clinical Social Worker 5496228231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1151 Bladensburg Rd NE
Suite 101
Washington, DC 20002-8971

12164 Lincoln Lake Way
Apt 4103
Fairfax, VA 22030-7778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC200002632DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to Housing DC CurrentSince Apr 13, 2025 Accepting new patients
Pathways to Housing DC CurrentSince Apr 13, 2025 Accepting new patients

Locations

828 Evarts St NE
Ste G
Washington, DC 20018

1151 Bladensburg Rd NE
Ste 101
Washington, DC 20002
Phone (202) 290-4950

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": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1750175006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12164 LINCOLN LAKE WAY APT 4103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307778",
            "telephone_number": "909-243-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 BLADENSBURG RD NE STE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200028971",
            "telephone_number": "202-529-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200002632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.