Individual provider Active NPI

Abigail Middleton, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1811304983
Registry record updated Jun 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50081991 Issued in DC
Practice address
1638 R St NW Ste 300
Washington, DC 20009
Phone
(202) 779-1828
NPI assigned
Jul 21, 2014
Last updated
Jun 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2019

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 LC50081991 DC Primary

Addresses

Primary practice location

1638 R St NW Ste 300
Washington, DC 20009

Mailing address

1930 Bennett PL NE
Washington, DC 20002-4114
Phone (703) 859-6751

Other practice location 1

460 Quincy Ave
Quincy, MA 02169-8130
Phone (617) 774-6085

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC50081991DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Middleton LLC Current Accepting new patients
Golden Life Counseling and Coaching Clinical Past Accepting new patients

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": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559433600000",
    "number": "1811304983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BENNETT PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024114",
            "telephone_number": "703-859-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 R ST NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20009",
            "telephone_number": "202-779-1828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Quincy Ave",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021698130",
            "country_code": "US",
            "telephone_number": "617-774-6085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "ABIGAIL",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2019-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081991",
            "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 Jun 2, 2019; 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.