Individual provider Active NPI

Veronica Jacques Metzger, LCSW

  • Clinical Social Worker
  • Montgomery Village, MD
National Provider Identifier
1073126546
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080773 Issued in DC
Practice address
19901 Spur Hill Dr
Montgomery Village, MD 20886-1420
Phone
(305) 978-4989
NPI assigned
Aug 25, 2020
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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 LC50080773 DC Primary

Addresses

Primary practice location

19901 Spur Hill Dr
Montgomery Village, MD 20886-1420

Mailing address

19901 Spur Hill Dr
Montgomery Village, MD 20886-1420
Phone (305) 978-4989

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
I20241127000259 VA Practitioner - Clinical Social Worker 1153856174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

522 S Independence Blvd
Suite 101
Virginia Beach, VA 23452-1149
Phone (757) 964-6302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50080773DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Therapy LLC Multi-Specialty CurrentSince Sep 15, 2024 Accepting new patients

Locations

522 S Independence Blvd
Ste 101
Virginia Beach, VA 23452
Phone (757) 964-6302

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, 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": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1073126546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19901 SPUR HILL DR",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208861420",
            "telephone_number": "305-978-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19901 SPUR HILL DR",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208861420",
            "telephone_number": "305-978-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES METZGER",
        "first_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery Village, MD

Sources for this page

Verify at the official NPI Registry.