Individual provider Active NPI

Anja D. Blackadar, LCSW

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1003561069
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015022 Issued in VA
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

Updated by the provider on Jun 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230518001084 DC Practitioner - Clinical Social Worker 3971969825 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904015022VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jun 12, 2023 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Sep 15, 2023 Accepting new patients
Inova Health Care Services CurrentSince Nov 7, 2023 Accepting new patients
City of Alexandria CurrentSince Jun 24, 2024 Accepting new patients
Inova Health Care Services CurrentSince Jun 12, 2023 Accepting new patients
City of Alexandria CurrentSince Jun 24, 2024 Accepting new patients
Finding Clarity Clinical PastSince Feb 1, 2022 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.

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

Verify at the official NPI Registry.