Active NPI
Anthony Hall
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1811257074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50079363
- Practice address
- 1221 Taylor St NW
Washington, DC 20011-5617 - Phone
- (202) 464-9200
- Fax
- (202) 464-5740
- NPI assigned
- May 22, 2012
- Sex
- Male
- 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 | LC50079363 | DC | Primary |
Addresses
Primary practice location
1221 Taylor St NW
Washington, DC 20011-5617
Mailing address
1221 Taylor St NW
Washington, DC 20011-5617
Phone (202) 464-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240118001311 | MD | Order and Referring Only - Clinical Social Worker | 2860657947 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27076 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensville Primary Care, Inc | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Owensville Primary Care, Inc | Federally qualified health center | Corporate Officer | Jun 1, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Family Medicine Physician
- Shady Side, MD
- NPI 1174019327
Corporate Officer
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.
-
- Family Medicine Physician
- West River, MD
- NPI 1225110067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1811257074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 TAYLOR ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200115617",
"telephone_number": "202-464-9200",
"fax_number": "202-464-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 TAYLOR ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200115617",
"telephone_number": "202-464-9200",
"fax_number": "202-464-5740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-22",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50079363",
"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 May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.