Active NPI
Kean Baxter, MSW
- Clinical Social Worker
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50080816
- Practice address
- 445 Mellon St SE
Washington, DC 20032-2642 - Phone
- (202) 751-6444
- NPI assigned
- Apr 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50080816 | DC | Primary |
| Clinical Social Worker | 1041C0700X | 18972 | MD |
Addresses
Primary practice location
445 Mellon St SE
Washington, DC 20032-2642
Mailing address
445 Mellon St SE
Washington, DC 20032-2642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8700 Central Ave
Suite 300
Landover, MD 20785-4853
Phone (240) 708-6529
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50080816 | DC | MD | Clinical Social Worker |
| 18972 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mbi Health Services LLC | Current | Accepting new patients | |
| United Family Mission Incorporation | Current | Accepting new patients | |
| Wellness Healthcare Clinics. LLC | Current | Accepting new patients | |
| The Soul Remediation Center LLC | Clinical | Past | Accepting new patients |
Locations
4660 Martin Luther King Jr Ave SW
Ste A3
Washington, DC 20032
Phone (202) 318-0179
4130 Hunt Pl NE
Washington, DC 20019
Phone (202) 388-4320
7200 Wisconsin Ave
Ste 702
Bethesda, MD 20814
Phone (202) 215-5348
8700 Central Ave
Ste 300
Landover, MD 20785
Phone (240) 708-6529
8700 Central Ave
Ste 200
Landover, MD 20785
Phone (240) 708-6529
Organizations & group practices 5
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.
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- NPI 1417432733
-
- Community/Behavioral Health Agency
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- NPI 1649769662
-
- Clinical Social Worker
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- NPI 1497313282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1831543719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 MELLON ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200322642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 MELLON ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200322642",
"telephone_number": "202-751-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXTER",
"first_name": "KEAN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-18",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50080816",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "18972",
"primary": false
}
],
"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 5, 2023; 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.