Individual provider Active NPI

Christine Michele Flood

  • Social Worker
  • Woodbridge, VA
National Provider Identifier
1053650747
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LC302753 Issued in DC
Practice address
2501 Hunter PL
Suite 201
Woodbridge, VA 22192-3940
Phone
(703) 659-9863
NPI assigned
Jan 31, 2013
Last updated
Jan 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LC302753 DC Primary

Addresses

Primary practice location

2501 Hunter PL
Suite 201
Woodbridge, VA 22192-3940

Mailing address

10391 Greyson LN
Rixeyville, VA 22737-1730
Phone (540) 937-2334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2019 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008083VAMDMental Health Counselor
LC302753DCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Behavioral Health Services,LLC Past Accepting new patients
Mountain Laurel Group, LLC Past Accepting new patients
Woodbridge Therapy Group LLC PastSince Nov 12, 2013 Accepting new patients
Boyd Cowan, LLC PastSince Nov 24, 2025 Accepting new patients

Organizations & group practices 4

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": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1053650747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10391 GREYSON LN",
            "city": "RIXEYVILLE",
            "state": "VA",
            "postal_code": "227371730",
            "telephone_number": "540-937-2334",
            "fax_number": "540-937-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 HUNTER PL",
            "address_2": "SUITE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923940",
            "telephone_number": "703-659-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOOD",
        "first_name": "CHRISTINE",
        "middle_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LC302753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.