Individual provider Active NPI

Thomas Capshew, LCSW, PH.D.

  • Clinical Social Worker
  • McLean, VA
National Provider Identifier
1053858472
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009203 Issued in VA
Practice address
7921 Jones Branch Dr
Suite 400
MC Lean, VA 22102-3306
Phone
(703) 444-9141
Fax
(703) 953-1013
NPI assigned
Jan 24, 2017
Last updated
Jan 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 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 0904009203 VA Primary

Addresses

Primary practice location

7921 Jones Branch Dr
Suite 400
MC Lean, VA 22102-3306

Mailing address

14 Little Brook Cir
Fredericksburg, VA 22405-1822
Phone (540) 621-8742

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)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Branch LLC Past Accepting new patients
Sagebrush Treatment Inc. Past Accepting new patients

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": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1053858472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LITTLE BROOK CIR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051822",
            "telephone_number": "540-621-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7921 JONES BRANCH DR",
            "address_2": "SUITE 400",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023306",
            "telephone_number": "703-444-9141",
            "fax_number": "703-953-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPSHEW",
        "first_name": "THOMAS",
        "credential": "LCSW, PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.