Provider Demographics
NPI:1629275904
Name:IVEY-NIXON, AISHA M (LCSW-C)
Entity type:Individual
Prefix:
First Name:AISHA
Middle Name:M
Last Name:IVEY-NIXON
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:AISHA
Other - Middle Name:M
Other - Last Name:IVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2021 RIDGE PL SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-4628
Mailing Address - Country:US
Mailing Address - Phone:202-494-5157
Mailing Address - Fax:
Practice Address - Street 1:9724 WYMAN WAY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-4658
Practice Address - Country:US
Practice Address - Phone:202-494-5157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500787171041C0700X
MD146371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCLC50078717OtherDC HEALTH PROFESSIONAL LICENSING
MD14637OtherMD BOARD OF SOCIAL WORK EXAMINERS