Individual provider Active NPI

Tenne Wordsworth, LCSW

  • Clinical Social Worker
  • Warrenton, VA
National Provider Identifier
1023431970
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008259 Issued in VA
Practice address
436 Hospital Dr
Warrenton, VA 20186-3026
Phone
(540) 491-4300
Fax
(540) 491-4300
NPI assigned
Jan 29, 2014
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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 0904008259 VA Primary

Addresses

Primary practice location

436 Hospital Dr
Warrenton, VA 20186-3026

Mailing address

172 Sterling CT
Warrenton, VA 20186-2931
Phone (540) 491-4300

Other identifiers 1

IdentifierTypeStateIssuer
600941914MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160929000518 VA Practitioner - Clinical Social Worker 9931496346 Practice locations: Warrenton, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008259VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reemerge Child Therapy CurrentSince Jun 11, 2013 Accepting new patients
Cardinal Healthcare PastSince Sep 1, 2022 Accepting new patients

Locations

24 Ashby St
Ste 201
Warrenton, VA 20186
Phone (540) 491-4300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1023431970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 STERLING CT",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862931",
            "telephone_number": "540-491-4300",
            "fax_number": "540-491-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863026",
            "telephone_number": "540-491-4300",
            "fax_number": "540-491-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORDSWORTH",
        "first_name": "TENNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600941914",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.