Active NPI
Samantha Elizabeth Waltrip
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1083051007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 4850 Mark Center Dr
Alexandria, VA 22311-1882 - Phone
- (703) 746-3400
- NPI assigned
- May 31, 2013
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
4850 Mark Center Dr
Alexandria, VA 22311-1882
Mailing address
4850 Mark Center Dr
Alexandria, VA 22311-1882
Phone (703) 746-3400
Other names 1
- Samantha E Daniel
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Alexandria | Current | Accepting new patients | |
| City of Alexandria | Current | Accepting new patients |
Locations
720 N Saint Asaph St
Alexandria, VA 22314
Phone (703) 746-3400
4850 Mark Center Dr
Fl 9
Alexandria, VA 22311
Phone (703) 746-3400
4850 Mark Center Dr
Alexandria, VA 22311
Phone (703) 746-3400
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alexandria, VA
- NPI 1447279658
DC
-
- Ambulance
- Alexandria, VA
- NPI 1902970593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1083051007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 MARK CENTER DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223111882",
"telephone_number": "703-746-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 MARK CENTER DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223111882",
"telephone_number": "703-746-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTRIP",
"first_name": "SAMANTHA",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "DANIEL",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.