BEVERLY DIANA GHOLSTON (NPI# 1174180814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174180814 |
| Entity Type | Individual |
| Full Name | BEVERLY DIANA GHOLSTON |
| Practice Address |
4130 Hunt Pl Ne Washington DC 20019-3565 |
| Mailing Address |
11806 Lusbys Ln Brandywine MD 20613-7678 |
| Practice Telephone | 2023884300 |
| Mailing Telephone | 3014674626 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC301977 | DC | Behavioral Health & Social Service Providers |
| Street Address |
4130 HUNT PL NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20019-3565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750362463 | Yolanda Eugenia Klemmer | Nurse Practitioner | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2005-11-09 |
| 1609409374 | Alexis W De'sert | Counselor | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2020-02-20 |
| 1164064705 | Ghislaine Kenmegne Datouo Mogo | Nurse Practitioner | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2019-10-15 |
| 1376008037 | Justina Adeti | Social Worker | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2019-02-07 |
| 1770080483 | Emmanuel Kamdem-sango | Nurse Practitioner | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2018-04-09 |
| 1619475175 | Bashirr Sheriff | Social Worker | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2018-01-30 |
| 1790209203 | Marie Lum | Home Health Aide | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2017-07-27 |
| 1871014340 | Rosaline Nkemasong Asonganyi | Home Health Aide | 4130 Hunt Pl Ne, Washington, DC 20019 | 2017-07-05 |
| 1427584614 | Debra Hickson | Home Health Aide | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2017-05-07 |
| 1013452820 | Tamakia Rivers | Home Health Aide | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2017-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079440 | Gracefully Fulfilled Counseling and Coaching Services | Counselor | 219 56th Place Ne, Washington, DC 20019 | 2020-09-25 |
| 1033735170 | Regenia Elizabeth Sayles | Home Health Aide | 3924 Minnesota Ave Ne Washington, Dc, DC 20019 | 2020-06-24 |
| 1417578733 | Alycia Paige Heiner | Student in an Organized Health Care Education/Training Program | Parkside Health Center, 765 Kenilworth Terrace Ne, Washington, DC 20019 | 2020-04-27 |
| 1598398786 | Issa Munu | Technician | 45th Street Ne, 604, Washington, DC 20019 | 2020-02-17 |
| 1538708391 | Chanda Constance Mcmahan | Psychologist | 3320 Ames St. N.e., Washington, DC 20019 | 2019-12-27 |
| 1215582978 | Howard University | Clinic/Center | 4414-4430 Benning Road, Ne, Washington, DC 20019 | 2019-08-08 |
| 1255985776 | Kemba Kelton | Technician | 3204 1/2 East Capitol Street Nw, Washington, DC 20019 | 2019-08-01 |
| 1659930196 | Brittany Deshanta Fleming | Counselor | 1561 45th St Ne, Washington, DC 20019 | 2019-06-09 |
| 1346701299 | Chelsie Esek | Speech-Language Pathologist | 1234 Singleton Blvd., Washington Dc, DC 20019 | 2019-03-25 |
| 1174081434 | Kathleen Estelle Williams | Nurse's Aide | 12045th Street North East, 613, Washington, DC 20019 | 2019-03-06 |
| Find all providers in zip 20019 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254769 | Ayana E Thompson | Social Worker | 706 Burns St Se, Washington, DC 20019-4913 | 2020-10-27 |
| 1265030282 | Amy Killy | Social Worker | 5402 Connecticut Ave Nw Ste 102, Washington, DC 20015-2830 | 2020-10-12 |
| 1144828385 | Ann Morrison | Social Worker | 5333 Connecticut Ave Nw Apt 528, Washington, DC 20015-1895 | 2020-10-10 |
| 1225645591 | Rs Davis Health & Wellness, LLC | Social Worker | 3200 Martin Luther King Jr Ave Se, Washington, DC 20032-1538 | 2020-09-30 |
| 1114534716 | Beth Anne Henson | Social Worker | 2717 Unicorn Ln Nw, Washington, DC 20015-2233 | 2020-09-28 |
| 1588271407 | Andrew Thomas | Social Worker | 801 Pa Ave Se, Washington, DC 20003-2167 | 2020-09-24 |
| 1043826324 | Wellness Reset Solutions LLC | Social Worker | 255 Carroll St Nw Apt 552, Washington, DC 20012-2093 | 2020-09-21 |
| 1487266995 | Martha Johnson | Social Worker | 1555 Connective Ave Nw, #500w, Washington, DC 20036 | 2020-08-18 |
| 1538779863 | Moore Therapeutic and Consulting Services | Social Worker | 1600 Maryland Ave Ne Apt 257, Washington, DC 20002-7662 | 2020-08-02 |
| 1992313266 | Paula Nicole Thomason | Social Worker | 4407 2nd St Ne Apt 2, Washington, DC 20011-5142 | 2020-07-22 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20019 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.