Individual provider Active NPI

William Doyle, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1770362600
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50079632 Issued in DC
Practice address
1151 Bladensburg Rd NE Ste 101
Washington, DC 20002-2549
Phone
(202) 441-9679
NPI assigned
Sep 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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 LC50079632 DC Primary

Addresses

Primary practice location

1151 Bladensburg Rd NE Ste 101
Washington, DC 20002-2549

Mailing address

1151 Bladensburg Rd NE Ste 101
Washington, DC 20002-2549
Phone (202) 441-9679

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
I20260624001803 DC Practitioner - Clinical Social Worker 2264905926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

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

9405 48TH Ave
College Park, MD 20740-1601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50079632DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to Housing DC CurrentSince Feb 11, 2024 Accepting new patients
Pathways to Housing DC CurrentSince Oct 15, 2023 Accepting new patients

Locations

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": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1770362600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 BLADENSBURG RD NE STE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200022549",
            "telephone_number": "202-441-9679"
        },
        {
            "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": "200022549",
            "telephone_number": "202-441-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "WILLIAM",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.