Active NPI
Jennifer Shotlander, LCSW
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1053684613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904006634
- Practice address
- 919 Duke St
Alexandria, VA 22314-3648 - Phone
- (703) 400-8340
- NPI assigned
- Feb 13, 2012
- 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 | 0904006634 | VA | Primary |
Addresses
Primary practice location
919 Duke St
Alexandria, VA 22314-3648
Mailing address
6137 Donival SQ
Alexandria, VA 22315-5266
Phone (703) 700-8340
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 |
|---|---|---|---|
| 0904006634 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uplift Behavioral Health PC | Clinical | Past | 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": "1329091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329091200000",
"number": "1053684613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6137 DONIVAL SQ",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223155266",
"telephone_number": "703-700-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 DUKE ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223143648",
"telephone_number": "703-400-8340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOTLANDER",
"first_name": "JENNIFER",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-13",
"last_updated": "2012-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904006634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.