Active NPI
Stephanie Louise Pegues
- Clinical Social Worker
- Falls Church, VA
National Provider Identifier
1053261172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904006562
- Practice address
- 6805 Woodland Dr
Falls Church, VA 22046-2325 - Phone
- (704) 499-2819
- NPI assigned
- Jan 29, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904006562 | VA | Primary |
Addresses
Primary practice location
6805 Woodland Dr
Falls Church, VA 22046-2325
Mailing address
6805 Woodland Dr
Falls Church, VA 22046-2325
Phone (704) 499-2819
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904006562 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1053261172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6805 WOODLAND DR",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220462325",
"telephone_number": "704-499-2819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6805 WOODLAND DR",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220462325",
"telephone_number": "704-499-2819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEGUES",
"first_name": "STEPHANIE",
"middle_name": "LOUISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-29",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904006562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
- Luis Alberto Pedemonte, ACNP
- Lillianna Danika Pedersen, MD
- Pediatrics of Seven Corners LLC
- Pediatrix Medical Group of the Mid-Atlantic PC
- Pediatrix Medical Group PC
- Lilly Catherine Penaloza, MD
- Penelope Donovan, LPC
- Margaux Rene Penland, LCSW
- Malynda Darlene Penuliar, DPT
- Dinushi Senanayaka Perera, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.