Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Branding Athletes as Legendary Leaders

Organization Clinical Social Worker · NPI 1427716299

Branding Athletes as Legendary Leaders is a Clinical Social Worker in Washington, District of Columbia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

6617 13th Pl NW
Washington, DC 20012-2309
Phone: (240) 643-3894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1427716299
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawntese Charles — Ceo · (240) 643-3894
NPI enumeratedNovember 29, 2021
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021
Mailing address6617 13th Pl Nw, Washington, DC 20012-2309

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