Individual provider Active NPI

Damien Dion Wade, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1841636743
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088860 Issued in NY
Practice address
60 O St NW
Washington, DC 20001-1259
Phone
(202) 797-8806
NPI assigned
May 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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 088860 NY Primary

Addresses

Primary practice location

60 O St NW
Washington, DC 20001-1259

Mailing address

1130 Kayak Ave
Capitol Heights, MD 20743-4043
Phone (347) 528-5408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NY, CT, NV4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20211019000478 DC Practitioner - Clinical Social Worker 2365830650 Reassigns benefits to 1 organization
I20240401001313 NY Practitioner - Clinical Social Worker 2365830650 Reassigns benefits to 1 organization
I20260113003844 CT Practitioner - Clinical Social Worker 2365830650 Reassigns benefits to 1 organization
I20260210002787 NV Practitioner - Clinical Social Worker 2365830650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2578 Broadway
Suite 607
New York, NY 10025-7869

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088860NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA CurrentSince Oct 27, 2025 Accepting new patients
Beverley Mack Harry Consulting Services Inc. Past Accepting new patients
Bend Health Psychiatric Services New England PA Past Accepting new patients

Locations

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 4

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": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1841636743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 KAYAK AVE",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207434043",
            "telephone_number": "347-528-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 O ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011259",
            "telephone_number": "202-797-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "DAMIEN",
        "middle_name": "DION",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-17",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.