Miriam McKain, MARIA
Individual provider Active NPI Clinical Social Worker · Clifton, VA
NPI 1013540558 · NPPES record last updated Feb 12, 2020
Key facts
- NPI
- 1013540558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904009007 (VA)
- Practice address
- 6505 Rock Crystal Dr
Clifton, VA 20124-2523 - Phone
- (703) 474-7776
- NPI assigned
- Feb 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Virginia Older Adult Counseling
Practice addresses (Care Compare)
4700 Banting Court
Fairfax, VA 22032-2451
4700 Banting CT
Fairfax, VA 22032-2451
Phone (703) 667-0752
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200325002764 | DC | Practitioner - Clinical Social Worker | 9638507601 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904009007 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Virginia Older Adult Counseling | Current |
Accepting new patients |
Locations
10615 Judicial Dr
Ste 301
Fairfax, VA 22030
Phone (703) 424-0410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904009007 | VA | Yes |
Addresses
Primary practice location
6505 Rock Crystal Dr
Clifton, VA 20124-2523
Mailing address
6505 Rock Crystal Dr
Clifton, VA 20124-2523
Phone (703) 474-7776
Other names
- Maria McKain
Other providers in Clifton, VA
- Loving Crane LLC
- Vivan Mai
- Kristin Dawn Mangeno
- Joseph Nicholas Martinez
- Beth Ellen Mayer
- Anna Morrison
- Nancy B Moughon
- Kenneth Geoffrey Myers
- New Era Eyecare LLC
- Nova Emdr PLLC
All providers in Clifton, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.