Individual provider Active NPI

Erika Lane Neil

  • Clinical Social Worker
  • Centreville, VA
National Provider Identifier
1083742290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CLSW0904006153 Issued in VA
Practice address
5675 Stone Rd
Suite 300
Centreville, VA 20120-1667
Phone
(703) 864-2807
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CLSW0904006153 VA Primary

Addresses

Primary practice location

5675 Stone Rd
Suite 300
Centreville, VA 20120-1667

Mailing address

15284 Surrey House Way
Centreville, VA 20120-1178
Phone (703) 449-0276

Other names 1

  • Erika Lane Neil Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CLSW0904006153VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083742290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15284 SURREY HOUSE WAY",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201178",
            "telephone_number": "703-449-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 STONE RD",
            "address_2": "SUITE 300",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201667",
            "telephone_number": "703-864-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIL",
        "first_name": "ERIKA",
        "middle_name": "LANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "CLSW0904006153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "NEIL",
            "middle_name": "LANE",
            "credential": "LCSW, JD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.