Individual provider Active NPI

Cynthia Deann Vasquez, LCSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1902039191
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31607 Issued in TX
Practice address
1575 Eye Street NW
Washington, DC 20420-1524
Phone
(202) 894-0931
NPI assigned
Sep 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904014459 VA
Clinical Social Worker 1041C0700X 31607 TX Primary

Addresses

Primary practice location

1575 Eye Street NW
Washington, DC 20420-1524

Mailing address

3073 S Buchanan St Apt A1
Arlington, VA 22206-1518
Phone (817) 629-6759

Other practice location 1

3073 S Buchanan St Apt A1
Arlington, VA 22206-1518
Phone (817) 629-6759

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
31607TXMDClinical Social Worker
0904014459VAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1902039191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 S BUCHANAN ST APT A1",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061518",
            "telephone_number": "817-629-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 EYE STREET NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "204201524",
            "telephone_number": "202-894-0931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3073 S Buchanan St Apt A1",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222061518",
            "country_code": "US",
            "telephone_number": "817-629-6759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "CYNTHIA",
        "middle_name": "DEANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014459",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31607",
            "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 Jan 3, 2023; 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.