Active NPI
Juliette-Marie Desousa, MA, MSW, LICSW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1932830494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC200003139
- Practice address
- 1616 18TH St NW Apt 206
Washington, DC 20009-2525 - Phone
- (202) 232-3766
- NPI assigned
- Jun 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC200003139 | DC | Primary |
Addresses
Primary practice location
1616 18TH St NW Apt 206
Washington, DC 20009-2525
Mailing address
3883 Connecticut Ave NW Apt 510
Washington, DC 20008-4576
Phone (202) 686-9268
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC200003139 | DC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1932830494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3883 CONNECTICUT AVE NW APT 510",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200084576",
"telephone_number": "202-686-9268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 18TH ST NW APT 206",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200092525",
"telephone_number": "202-232-3766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESOUSA",
"first_name": "JULIETTE-MARIE",
"name_prefix": "Ms.",
"credential": "MA, MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC200003139",
"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 Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.