Individual provider Active NPI

Nadine M Lupton, L.C.S.W.

  • Clinical Social Worker
  • Stafford, VA
National Provider Identifier
1063503290
Registry record updated May 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002347 Issued in VA
Practice address
385 Garrisonville Rd
Suite 113
Stafford, VA 22554-1545
Phone
(540) 657-1228
Fax
(540) 657-1999
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 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 0904002347 VA Primary

Addresses

Primary practice location

385 Garrisonville Rd
Suite 113
Stafford, VA 22554-1545

Mailing address

385 Garrisonville Rd., Suite 13
Stafford, VA 22554
Phone (540) 657-1228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040819000030 VA Practitioner - Clinical Social Worker 9537132311 Practice locations: Fredericksburg, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

806 Westwood Office Park
Fredericksburg, VA 22401-5121
Phone (540) 361-4330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1063503290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 GARRISONVILLE RD., SUITE 13",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "22554",
            "telephone_number": "540-657-1228",
            "fax_number": "540-657-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 GARRISONVILLE RD",
            "address_2": "SUITE 113",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541545",
            "telephone_number": "540-657-1228",
            "fax_number": "540-657-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPTON",
        "first_name": "NADINE",
        "middle_name": "M",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.