Lakisha Theresa Witherspoon, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50079032 Issued in DC

Practice address

4301 13TH St NW
Washington, DC 20011-5629

Phone

(202) 576-8399

NPI assigned

Sep 25, 2011

Last updated

Jan 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lakisha Theresa Sutton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Howard University

  dba Washington Metropolitan Behavioral Health Program

  • Child & Adolescent Psychiatry Physician
  • Washington, DC
  • NPI 1003473281
  NPD (past)
• Clinical Solutions

  • Mental Health Counselor
  • Burtonsville, MD
  • NPI 1154872059
  NPD (past)
• Clinical Solutions

  • Clinical Psychologist
  • Burtonsville, MD
  • NPI 1811436728
  NPD (past)

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

{
    "created_epoch": "1316908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1790068807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BRYANT ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011708",
            "telephone_number": "202-939-3610",
            "fax_number": "202-671-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115629",
            "telephone_number": "202-576-8399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 National Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Burtonsville",
            "state": "MD",
            "postal_code": "208661118",
            "country_code": "US",
            "telephone_number": "301-421-4241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "LAKISHA",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-25",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAKISHA",
            "last_name": "SUTTON",
            "middle_name": "THERESA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Craig Witham
• Aziza Withers
• Crystal Witherspoon
• Erika Camille Y. Witherspoon
• Lakeisha Witherspoon
• Sandra Witherspoon
• Within Reach, LLC
• Courtney Maria Witkay
• Kenneth R Witmer, M.D.
• Barbara Kelly Witt, LCSW-C

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.