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Anne Kelemen, LICSW

Social Worker, Clinical in Washington, DC. Individual provider (NPI-1).

NPI number1639749765
StatusActive
Last updated in NPPESJun 30, 2021

Details

NPI
1639749765
Entity type
Individual (NPI-1)
Name
Anne Kelemen
Credential
LICSW
Sex
Female
Sole proprietor
No
Enumeration date
Jun 30, 2021
Certification date
Jan 9, 2021
Last updated
Jun 30, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
Medicare opt-out
Oct 1, 2022 to Oct 1, 2028
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLC50080123DCYes
1041C0700X Social Worker, Clinical16972MD

Practice location

110 Irving St Nw
Washington, DC 20010-3017

Phone 202-877-7445

Mailing address

110 Irving St Nw
Washington, DC 20010-3017

Phone 202-877-7445

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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