Individual provider Active NPI

Virgie Naomi Harris Bovelle, MSW LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1780722066
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC 00301509 Issued in DC
Practice address
1323 Kalmia Rd NW
Washington, DC 20012-1444
Phone
(202) 347-7222
NPI assigned
Feb 1, 2007
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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 LC 00301509 DC Primary

Addresses

Primary practice location

1323 Kalmia Rd NW
Washington, DC 20012-1444

Mailing address

1323 Kalmia Rd NW
Washington, DC 20012-1444
Phone (202) 347-7222

Other identifiers 1

IdentifierTypeStateIssuer
A382OtherBCBS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC 00301509DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1780722066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 KALMIA RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121444",
            "telephone_number": "202-347-7222",
            "fax_number": "202-829-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 KALMIA RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121444",
            "telephone_number": "202-347-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS BOVELLE",
        "first_name": "VIRGIE",
        "middle_name": "NAOMI",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC 00301509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "A382",
            "state": null
        }
    ],
    "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 Dec 9, 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.