{
  "npi": "1114734027",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "LICSW",
    "authorized_official_first_name": "VIRGINIA",
    "authorized_official_last_name": "CABRERA",
    "authorized_official_telephone_number": "2029911631",
    "authorized_official_title_or_position": "Executive Director",
    "certification_date": "2026-10-15",
    "enumeration_date": "2024-12-13",
    "last_updated": "2026-10-15",
    "organization_name": "5615 WOODLEY LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "5615 1ST ST NW APT 2",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WASHINGTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "200112382",
      "state": "DC",
      "telephone_number": "202-991-1631"
    },
    {
      "address_1": "5615 FIRST STREET, NW",
      "address_2": "#2",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WASHINGTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "20011",
      "state": "DC",
      "telephone_number": "202-991-1631"
    }
  ],
  "taxonomies": [
    {
      "code": "251B00000X",
      "desc": "Case Management",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QM0850X",
      "desc": "Clinic/Center, Adult Mental Health",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QR0405X",
      "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Case Management",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}