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NPI 1417569211 · Clinical Social Worker · Washington, DC
Provider details
- NPI number
- 1417569211
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Robert Bivens, Clinical Social Worker / Owner(202) 750-1246
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1101 Connecticut Ave Nw
Suite 450
Washington, DC 20036-4303
Phone: (202) 750-1246
Street-level locationGet directions
Mailing address
113 Madison St Nw
Washington, DC 20011-2311
Registry dates
- Enumerated
- 2020-08-21
- Last updated
- 2021-04-29
- Certified
- 2021-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.