Active NPI
Anja D. Blackadar, LCSW
- Clinical Social Worker
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904015022
- Practice address
- 4850 Mark Center Dr
Alexandria, VA 22311-1882 - Phone
- (703) 746-3400
- NPI assigned
- Feb 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904015022 | VA | Primary |
Addresses
Primary practice location
4850 Mark Center Dr
Alexandria, VA 22311-1882
Mailing address
3901 Whispering LN
Falls Church, VA 22041-1113
Other practice location 1
5510 Cherokee Avenue, Suite 300
#1093
Alexandria, VA 22312
Phone (571) 215-4771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904015022 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| City of Alexandria | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| City of Alexandria | Current | Accepting new patients | |
| Finding Clarity | Clinical | Past | Accepting new patients |
Locations
720 N Saint Asaph St
Alexandria, VA 22314
Phone (703) 746-3400
4850 Mark Center Dr
Fl 9
Alexandria, VA 22311
Phone (703) 746-3400
4850 Mark Center Dr
Alexandria, VA 22311
Phone (703) 746-3400
8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525
8001 Forbes Pl
Ste 200
Springfield, VA 22151
Phone (703) 321-2502
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alexandria, VA
- NPI 1447279658
DC
-
- Ambulance
- Alexandria, VA
- NPI 1902970593
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1003561069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 WHISPERING LN",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220411113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 MARK CENTER DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223111882",
"telephone_number": "703-746-3400"
}
],
"practiceLocations": [
{
"address_1": "5510 Cherokee Avenue, Suite 300",
"address_2": "#1093",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "22312",
"country_code": "US",
"telephone_number": "571-215-4771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACKADAR",
"first_name": "ANJA",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904015022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.