Theresa M Minni, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50080712 Issued in DC

Practice address

2821 29TH PL NW
Washington, DC 20008-3501

Phone

(202) 667-7429

NPI assigned

Aug 5, 2013

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2015.

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1871925578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 29TH PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083501",
            "telephone_number": "202-667-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 29TH PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083501",
            "telephone_number": "202-667-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNI",
        "first_name": "THERESA",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "19115",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Levina Minja
• Flore Marcelle Minka
• Benjamin Minkins
• Serkalem Meseret Minlargilh
• Ruben Minlend
• Wanda Renee Minnis-Dyson, M.D.
• Caterina P Minniti, MD
• Alicia A Minor
• Beatrice Minor
• Darilyn Niya Minor, PHARMD

• All providers in Washington, DC
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.