| Cccc Llc | |
|
650 Pennsylvania Ave Se Ste 440 Washington DC 20003-4424 | |
| (202) 544-5440 | |
| (202) 544-3004 |
| Full Name | Cccc Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 650 Pennsylvania Ave Se, Washington, District Of Columbia |
| Authorized Official Name and Position | William Rice (BUSINESS DIRECTOR) |
| Authorized Official Contact | 2026741227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cccc Llc 650 Pennsylvania Ave Se Ste 440 Washington DC 20003-4424 Ph: (202) 544-5440 | Cccc Llc 650 Pennsylvania Ave Se Ste 440 Washington DC 20003-4424 Ph: (202) 544-5440 |
| NPI Number | 1992965552 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Medicare PECOS PAC ID | 1951602796 |
|---|---|
| Medicare Enrollment ID | O20151221000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992965552 | NPI | - | NPPES |
| Provider Name | Thuy-van V Duckett-beauford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508190141 PECOS PAC ID: 1850438219 Enrollment ID: I20091017000020 |
| Provider Name | James Ballard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619081973 PECOS PAC ID: 7012181266 Enrollment ID: I20111128000162 |
| Provider Name | Dellena M Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801006929 PECOS PAC ID: 7113191305 Enrollment ID: I20111128000666 |
| Provider Name | Marjorie Roberson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174926828 PECOS PAC ID: 4688896962 Enrollment ID: I20141121000929 |
| Provider Name | Rebecca A Helem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700289535 PECOS PAC ID: 1254657638 Enrollment ID: I20150302001107 |
| Provider Name | Deborah L Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285884627 PECOS PAC ID: 0648571091 Enrollment ID: I20151209001398 |
| Provider Name | Barbara J Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073626354 PECOS PAC ID: 2466753207 Enrollment ID: I20151221000443 |
| Provider Name | Alyssa M Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962708826 PECOS PAC ID: 6709025265 Enrollment ID: I20171214002574 |
| Provider Name | Reji Abhilash |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346743739 PECOS PAC ID: 4981966009 Enrollment ID: I20180329000185 |
| Provider Name | Victoria Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629232665 PECOS PAC ID: 7810243581 Enrollment ID: I20180711000415 |
| Provider Name | Gina Sangster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871728147 PECOS PAC ID: 2264788942 Enrollment ID: I20180711000927 |
| Provider Name | Kevin Morton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124132469 PECOS PAC ID: 9739439886 Enrollment ID: I20180911001446 |
| Provider Name | Gretchen Gates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609318336 PECOS PAC ID: 6507118296 Enrollment ID: I20181008001978 |
| Provider Name | Simona Efanov |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083133631 PECOS PAC ID: 5991058737 Enrollment ID: I20181025000885 |
| Provider Name | Michaela Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649769027 PECOS PAC ID: 1850638982 Enrollment ID: I20190129000369 |
| Provider Name | Paris Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245794379 PECOS PAC ID: 4284975004 Enrollment ID: I20190404001096 |
| Provider Name | Robert A Mays |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144625088 PECOS PAC ID: 2860729100 Enrollment ID: I20190809001125 |
| Provider Name | Jillian A Theryon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982192480 PECOS PAC ID: 9830420637 Enrollment ID: I20191009000932 |
| Provider Name | Sheila Guzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699025452 PECOS PAC ID: 8628309184 Enrollment ID: I20191014003436 |
| Provider Name | Joseph Melendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699272690 PECOS PAC ID: 9931534823 Enrollment ID: I20200123000862 |
| Provider Name | Zoeann Finzi-adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336771286 PECOS PAC ID: 5395158901 Enrollment ID: I20201228001785 |
| Provider Name | Nicholas Donahue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508326992 PECOS PAC ID: 9537572185 Enrollment ID: I20201229000718 |
| Provider Name | Cynthia Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205460383 PECOS PAC ID: 7719390723 Enrollment ID: I20210113000363 |
| Provider Name | Kacia Kriener Putman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578120572 PECOS PAC ID: 8325456064 Enrollment ID: I20210420000075 |
| Provider Name | Jessica Thompkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932687621 PECOS PAC ID: 8527467893 Enrollment ID: I20210519001813 |
| Provider Name | Anjelica Jackson-todd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255862595 PECOS PAC ID: 3173929262 Enrollment ID: I20210915002859 |
| Provider Name | Jasmine Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801352836 PECOS PAC ID: 8426449539 Enrollment ID: I20211228002464 |
| Provider Name | Maeve Tilly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689272189 PECOS PAC ID: 7719370311 Enrollment ID: I20220203000021 |
| Provider Name | Ta-tanisha Vonetta Hawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760056881 PECOS PAC ID: 1557741857 Enrollment ID: I20220705000830 |
| Provider Name | Manga Omasombo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316599012 PECOS PAC ID: 8921484403 Enrollment ID: I20221006002074 |
| Provider Name | Emma Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194336487 PECOS PAC ID: 0547639619 Enrollment ID: I20221212002205 |
| Provider Name | Emily Sine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861109381 PECOS PAC ID: 1254700339 Enrollment ID: I20221212002733 |
| Provider Name | Peter Devlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356907844 PECOS PAC ID: 3072978337 Enrollment ID: I20230420002975 |
| Provider Name | Celeste Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467909911 PECOS PAC ID: 9335504810 Enrollment ID: I20230505002091 |
| Provider Name | Lakitha Owens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467079889 PECOS PAC ID: 5890157085 Enrollment ID: I20230821001979 |
| Provider Name | Steven Nicholson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528749629 PECOS PAC ID: 9436513470 Enrollment ID: I20230911000939 |
| Provider Name | Anne Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245443134 PECOS PAC ID: 5294199055 Enrollment ID: I20230912002449 |
| Provider Name | Jordan Hollar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598340200 PECOS PAC ID: 8729432604 Enrollment ID: I20230926002875 |
| Provider Name | Beverly P Woolard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841755667 PECOS PAC ID: 1355798018 Enrollment ID: I20231117000678 |
| Provider Name | Jessica Saalfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780722504 PECOS PAC ID: 2062570187 Enrollment ID: I20240111001896 |
| Provider Name | Jamie Hakim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861244790 PECOS PAC ID: 0547600132 Enrollment ID: I20240430001539 |
| Provider Name | Theresa Nowakowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871245464 PECOS PAC ID: 7810338464 Enrollment ID: I20240514000412 |
Joan R Sealy Mdpc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6941 32nd St Nw, Washington, DC 20015 Phone: 202-244-6946 | |
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Learn Now Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Evarts St Ne, Washington, DC 20018 Phone: 202-577-6869 Fax: 240-264-1268 | |
Umbrella Therapeutic Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3300 Pennsylvania Ave Se, Washington, DC 20020 Phone: 202-441-7966 | |
Rashida Clegg, Ph.d., Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3005 Bladensburg Rd Ne, Washington, DC 20018 Phone: 202-780-6101 | |
Symmetry Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1629 K St Nw Ste 300, Washington, DC 20006 Phone: 312-578-9990 Fax: 312-578-9004 | |
Technotherapy Public Benefit Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2032 Belmont Rd Nw Apt 312, Washington, DC 20009 Phone: 202-250-1230 |