MR. VICTOR RENATO BLYTHE LICSW, LCSW-C
NPI 1912326091
Social Worker - Clinical in Washington, DC

Active since April 16, 2014
1776 SYCAMORE ST NW, WASHINGTON, DC 20012(202) 276-3337 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Victor Renato Blythe Licsw, Lcsw-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. VICTOR RENATO BLYTHE LICSW, LCSW-C (NPI 1912326091) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (LC303351) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1912326091
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. VICTOR RENATO BLYTHECredential: LICSW, LCSW-C
Location Address1776 SYCAMORE ST NWWashington, DC 20012-1031
Mailing Address1776 Sycamore St NwWashington, DC 20012-1031 · (202) 276-3337
Sole ProprietorYes
Enumeration DateApril 16, 2014
✔ NPI 1912326091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in DC · LC303351✔ Licensed in MD · 10307
Definition
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.
1776 SYCAMORE ST NW, Washington, DC 20012

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Victor Renato Blythe Licsw, Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Victor Blythe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
4130 HUNT PL NE
Washington, DC 20019
  • Reassigned Medicare billing, District of Columbia enrollment
  • 86 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victor Blythe's NPI number?

The NPI number for Victor Blythe is 1912326091. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Victor Blythe located?

Victor Blythe practices at 1776 Sycamore St NW, Washington, DC 20012. The listed phone number is (202) 276-3337.

What is Victor Blythe's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Victor Blythe enrolled in Medicare?

Yes. Victor Blythe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Victor Blythe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victor Blythe reassigns Medicare benefits to Mbi Health Services LLC (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Victor Blythe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Victor Blythe was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.