Individual provider Active NPI

Ana Serra, MGSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1932724515
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25940 Issued in MD
Practice address
Mary'S Center
2333 Ontario Rd NW
Washington, DC 20009
Phone
(202) 483-8196
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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 25940 MD Primary

Addresses

Primary practice location

Mary'S Center
2333 Ontario Rd NW
Washington, DC 20009

Mailing address

2940 Brandywine St NW
Washington, DC 20008-2138
Phone (202) 966-3251

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230120002705 DC Practitioner - Clinical Social Worker 4284005638 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25940MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary'S Center for Maternal and Child Care, Inc Current Accepting new patients
Mary'S Center for Maternal and Child Care Inc CurrentSince Dec 8, 2022 Accepting new patients
Marys Center for Maternal and Child Care Inc CurrentSince Dec 8, 2022 Accepting new patients

Locations

6315 5th St NW
Washington, DC 20011
Phone (202) 671-6080

3912 Georgia Ave NW
Washington, DC 20011
Phone (844) 796-2797

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

100 Gallatin St NE
Washington, DC 20011
Phone (202) 545-0515

8908 Riggs Rd
Hyattsville, MD 20783
Phone (301) 422-5900

344 University Blvd W
Silver Spring, MD 20901
Phone (301) 439-0300

Organizations & group practices 3

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": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1932724515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 BRANDYWINE ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082138",
            "telephone_number": "202-966-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARY'S CENTER",
            "address_2": "2333 ONTARIO RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20009",
            "telephone_number": "202-483-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRA",
        "first_name": "ANA",
        "credential": "MGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.