Individual provider Active NPI

Davina Abujudeh, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1801362082
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50081604 Issued in DC
Practice address
1919 15TH St SE
Washington, DC 20020
Phone
(202) 698-1122
NPI assigned
Oct 16, 2018
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50081604 DC Primary
School Social Worker 1041S0200X LC50081604 DC

Addresses

Primary practice location

1919 15TH St SE
Washington, DC 20020

Mailing address

1919 15TH St SE
Washington, DC 20020-4818

Other practice location 1

316 F St NE Ste 212
Washington, DC 20002-4944
Phone (202) 642-6661

Other practice location 2

316 F St NE Ste 212
Washington, DC 20002-4944
Phone (202) 642-6661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250624000049 MD Practitioner - Clinical Social Worker 0648511790 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21437MDMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Bay Psychological Services LLC CurrentSince Jun 15, 2025 Accepting new patients
Community of Hope, Inc. PastSince Oct 27, 2019 Accepting new patients

Locations

155 Log Canoe Cir
Stevensville, MD 21666
Phone (410) 604-0226

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1801362082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 15TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 15TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20020",
            "telephone_number": "202-698-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 F St NE Ste 212",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200024944",
            "country_code": "US",
            "telephone_number": "202-642-6661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 F St NE Ste 212",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200024944",
            "country_code": "US",
            "telephone_number": "202-642-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABUJUDEH",
        "first_name": "DAVINA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081604",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "DC",
            "license": "LC50081604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.