Organization Active NPI

Hurdle Clinical Group PC

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1912663717
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HURDLE CLINICAL GROUP PC
Practice address
1301 K St NW FRNT 3
Washington, DC 20005-4798
Phone
(724) 250-8855
Fax
(724) 788-0617
NPI assigned
Nov 16, 2021
Last updated
Nov 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Andrae L Brown
Title
Owner
Phone
(973) 393-4127

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

1301 K St NW FRNT 3
Washington, DC 20005-4798

Mailing address

1301 K St NW FRNT 3
Washington, DC 20005-4798
Phone (724) 250-8855

Other practice location 1

8403 Colesville Rd Ste 1100
Silver Spring, MD 20910-6346
Phone (724) 250-8855

Other practice location 2

12020 Sunrise Valley Dr Ste 100
Reston, VA 20191-3429
Phone (724) 250-8855

National Provider Directory

National Provider Directory

Locations

1301 K St NW
Frnt 3
Washington, DC 20005
Phone (724) 250-8555

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1912663717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 K ST NW FRNT 3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054798",
            "telephone_number": "724-250-8855",
            "fax_number": "724-788-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 K ST NW FRNT 3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054798",
            "telephone_number": "724-250-8855",
            "fax_number": "724-788-0617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8403 Colesville Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209106346",
            "country_code": "US",
            "telephone_number": "724-250-8855",
            "fax_number": "724-788-0617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12020 Sunrise Valley Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201913429",
            "country_code": "US",
            "telephone_number": "724-250-8855",
            "fax_number": "724-788-0617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HURDLE CLINICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANDRAE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-393-4127"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "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 Nov 16, 2021; 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.