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JASON R WALLIS MSW, LICSW
NPI 1942707500
Social Worker - Clinical in Washington, DC

Active since April 10, 2018PECOS EnrolledAccepts Medicare Assignment
4414 BENNING RD NE, WASHINGTON, DC 20019(202) 388-7759 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2019, Apr 10, 2018 (2 updates tracked since 2018).

About Jason R Wallis Msw, Licsw NPPES

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

JASON R WALLIS MSW, LICSW (NPI 1942707500) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (LC50081298) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1942707500
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJASON R WALLISCredential: MSW, LICSW
Location Address4414 BENNING RD NEWashington, DC 20019-4555
Mailing Address4414 Benning Rd NeWashington, DC 20019-4555 · (202) 388-7759
Phone(202) 388-7759
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 10, 2018
Last NPPES UpdateSeptember 30, 20192 updates tracked since enumeration
✔ NPI 1942707500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in DC · LC50081298
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.
4414 BENNING RD NE, Washington, DC 20019
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason R Wallis Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294099958
PECOS Enrollment IDI20180503002432
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONICA AJINKYA MD
Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
District of Columbia (301) 699-7707
JOSEPH MULLER M.D.
Internal Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
District of Columbia (202) 469-4699
DR. JOHN ROXBOROUGH IV MD
Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
District of Columbia (202) 388-7891
MS. MEGHAN CONWAY DENS NP
Registered Nurse (Pediatrics)
4414 BENNING RD NE
WASHINGTON, DC 20019
District of Columbia (202) 469-4699
DR. KATHLEEN ASHLEY SOLTIS M.D.
Obstetrics & Gynecology
4414 BENNING RD NE
WASHINGTON, DC 20019
District of Columbia (202) 469-4499
CALEB BEACHY DO
Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
District of Columbia (202) 469-4699
FORUM NITIN SANGHAVI DO, MHSA
Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
District of Columbia (202) 469-4699
GISELA M DELGADO ROSADO MD
Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
District of Columbia (202) 469-4699

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 Jason Wallis's NPI number?

The NPI number for Jason Wallis is 1942707500. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Jason Wallis located?

Jason Wallis practices at 4414 Benning Rd NE, Washington, DC 20019. The listed phone number is (202) 388-7759.

What is Jason Wallis's specialty?

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

Is Jason Wallis enrolled in Medicare?

Yes. Jason Wallis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jason Wallis was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.