Individual provider Active NPI

Marguerite Louise Lawless, LCSW

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1083392146
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904012844 Issued in VA
Practice address
10615 Judicial Dr Ste 301
Fairfax, VA 22030-7501
Phone
(703) 667-0752
Fax
(703) 995-0330
NPI assigned
Jul 10, 2023
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 0904012844 VA Primary

Addresses

Primary practice location

10615 Judicial Dr Ste 301
Fairfax, VA 22030-7501

Mailing address

15311 Blueridge View Dr
Centreville, VA 20120-1122
Phone (703) 795-3340

Other names 1

  • Meg Crossett Other name

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
I20230822001790 DC Practitioner - Clinical Social Worker 1951763036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northern Virginia Older Adult CounselingGroup PAC ID 5294039608, 21 clinicians

Practice addresses (Care Compare)

10615 Judicial Dr
Suite 301
Fairfax, VA 22030-7501
Phone (703) 667-0752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904012844VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Older Adult Counseling CurrentSince Jul 1, 2023 Accepting new patients

Locations

10615 Judicial Dr
Ste 301
Fairfax, VA 22030
Phone (703) 424-0410

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1083392146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15311 BLUERIDGE VIEW DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201122",
            "telephone_number": "703-795-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 JUDICIAL DR STE 301",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307501",
            "telephone_number": "703-667-0752",
            "fax_number": "703-995-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLESS",
        "first_name": "MARGUERITE",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEG",
            "last_name": "CROSSETT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.