Active NPI
Paul Robert Wells Sr., SOCIAL WORKER, LICSW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1750803193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC302480
- Practice address
- 3005 Bladensburg Rd NE Lowr Level
Washington, DC 20018-2265 - Phone
- (202) 713-0314
- NPI assigned
- Jul 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC302480 | DC | Primary |
Addresses
Primary practice location
3005 Bladensburg Rd NE Lowr Level
Washington, DC 20018-2265
Mailing address
3005 Bladensburg Rd NE Lowr Level
Washington, DC 20018-2265
Phone (202) 713-0314
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC302480 | DC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1750803193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 BLADENSBURG RD NE LOWR LEVEL",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200182265",
"telephone_number": "202-713-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 BLADENSBURG RD NE LOWR LEVEL",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200182265",
"telephone_number": "202-713-0314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "PAUL",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "SOCIAL WORKER, LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC302480",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.