Individual provider Active NPI

Sandra L Moncrief-Stuart, MA, MSW

  • Clinical Social Worker
  • Vienna, VA
National Provider Identifier
1033418231
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007333 Issued in VA
Practice address
133 Park St NE
Vienna, VA 22180-4602
Phone
(703) 281-4928
NPI assigned
Mar 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904007333 VA Primary
Clinical Social Worker 1041C0700X 4568 OR
Marriage & Family Therapist 106H00000X 0717001210 VA
Marriage & Family Therapist 106H00000X T0583 OR

Addresses

Primary practice location

133 Park St NE
Vienna, VA 22180-4602

Mailing address

133 Park St NE
Vienna, VA 22180-4602
Phone (703) 281-7928

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0904007333VAMDClinical Social Worker
T0583ORMDMarriage & Family Therapist
0717001210VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Center Clinical PastSince Aug 8, 1997 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.

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1033418231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PARK ST NE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804602",
            "telephone_number": "703-281-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PARK ST NE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804602",
            "telephone_number": "703-281-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCRIEF-STUART",
        "first_name": "SANDRA",
        "middle_name": "L",
        "credential": "MA,  MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007333",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "4568",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001210",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.