Active NPI
Constance Ridgway, LCSW
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1003880931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904003134
- Practice address
- 205 S Whiting St Ste 605
Alexandria, VA 22304-7121 - Phone
- (202) 966-8230
- Fax
- (202) 966-8230
- NPI assigned
- Feb 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904003134 | VA | Primary |
| Clinical Social Worker | 1041C0700X | LC302735 | DC |
Addresses
Primary practice location
205 S Whiting St Ste 605
Alexandria, VA 22304-7121
Mailing address
205 S Whiting St Ste 605
Alexandria, VA 22304-7121
Phone (202) 966-8230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1764 | Other | DC | CAREFIRST BC/BS # |
| 120224 | Other | VA | VALUE OPTIONS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Center for Relationships, LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Alexandria, VA
- NPI 1003096124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003880931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 S WHITING ST STE 605",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223047121",
"telephone_number": "202-966-8230",
"fax_number": "202-966-8230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S WHITING ST STE 605",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223047121",
"telephone_number": "202-966-8230",
"fax_number": "202-966-8230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDGWAY",
"first_name": "CONSTANCE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904003134",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC302735",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS #",
"identifier": "1764",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROVIDER #",
"identifier": "120224",
"state": "VA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.