Individual provider Active NPI

Shatiera Monique Amankrah, LCSW

  • Clinical Social Worker
  • Dumfries, VA
National Provider Identifier
1053885707
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010618 Issued in VA
Practice address
17949 Main St Unit 983
Dumfries, VA 22026-8041
Phone
(703) 952-1722
NPI assigned
Jan 16, 2019
Last updated
May 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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 0904010618 VA Primary

Addresses

Primary practice location

17949 Main St Unit 983
Dumfries, VA 22026-8041

Mailing address

17949 Main St Unit 983
Dumfries, VA 22026-8041
Phone (703) 952-1722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190806000388 DC Practitioner - Clinical Social Worker 7416299979 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Hospital Center Corp Current Accepting new patients
Washington Hospital Center Corp CurrentSince Feb 1, 2021 Accepting new patients
Inova Health Care Services CurrentSince Apr 8, 2022 Accepting new patients
Washington Hospital Center Corp CurrentSince Feb 1, 2021 Accepting new patients
Inova Health Care Services CurrentSince Apr 8, 2022 Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

8221 Willow Oaks Corporate Dr
Ste 4425
Fairfax, VA 22031
Phone (703) 289-7599

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

Organizations & group practices 5

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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1053885707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17949 MAIN ST UNIT 983",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220268041",
            "telephone_number": "703-952-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17949 MAIN ST UNIT 983",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220268041",
            "telephone_number": "703-952-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANKRAH",
        "first_name": "SHATIERA",
        "middle_name": "MONIQUE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

Verify at the official NPI Registry.