Active NPI
Safoura Moraveji, LICSW
- Clinical Social Worker
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC3000771
- Practice address
- 3020 14TH St NW
Washington, DC 20009-6865 - Phone
- (202) 745-4300
- Fax
- (202) 232-0723
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 | LC3000771 | DC | Primary |
Addresses
Primary practice location
3020 14TH St NW
Washington, DC 20009-6865
Mailing address
3020 14TH St NW
Washington, DC 20009-6865
Phone (202) 745-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110309000375 | DC | Practitioner - Clinical Social Worker | 7315129590 | Reassigns benefits to 1 organization |
| I20230628004177 | MD | Practitioner - Clinical Social Worker | 7315129590 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sondermind Provider Network LLC
Practice addresses (Care Compare)
1910 Towne Centre Blvd
Suite 250
Annapolis, MD 21401-3599
Phone (866) 630-0966
601 Pennsylvania Ave NW
Suite 900
Washington, DC 20004-2601
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3000771 | DC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
Locations
601 Pennsylvania Ave NW
Ste 900
Washington, DC 20004
Phone (240) 586-3538
1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891
Organizations & group practices 1
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": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801910641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 14TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200096865",
"telephone_number": "202-745-4300",
"fax_number": "202-232-0723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 14TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200096865",
"telephone_number": "202-745-4300",
"fax_number": "202-232-0723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAVEJI",
"first_name": "SAFOURA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC3000771",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.