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

Individual provider Clinical Social Worker · NPI 1235378258

Dr. Jermaine Wyatt, LICSW is a Clinical Social Worker in Washington, District of Columbia. Graduated from Howard University College of Medicine in 2007, 19 years ago. Practices with Paving the Way Multi Service Institute, a 3-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
19
Trained at
Howard University College of Medicine
In the registry since
2009
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

140 Michigan Ave NE #T12
Washington, DC 20017-1039
Phone: (202) 569-9539
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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 number1235378258
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 14, 2009
Last updated in NPPESJune 27, 2026
Certification dateJune 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Paving The Way Multi Service Institute — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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