Individual provider Active NPI

Katherine Ellen Castelo, LICSW, LCSW

  • Clinical Social Worker
  • Springfield, VA
National Provider Identifier
1083745871
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006411 Issued in VA
Practice address
6709 Bellamy Ave
Springfield, VA 22152-3025
Phone
(703) 201-0108
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 0904006411 VA Primary

Addresses

Primary practice location

6709 Bellamy Ave
Springfield, VA 22152-3025

Mailing address

6709 Bellamy Ave
Springfield, VA 22152-3025
Phone (703) 201-0108

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
I20230804003382 DC Practitioner - Clinical Social Worker 4486015559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

218 N Lee St
Alexandria, VA 22314-2602
Phone (703) 794-5203

6709 Bellamy Ave
Springfield, VA 22152-3025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904006411VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Awaken Wellness Center, Inc. Clinical CurrentSince Apr 1, 2023 Accepting new patients

Locations

218 N Lee St
Ste 201
Alexandria, VA 22314
Phone (703) 299-0051

218 N Lee St
Alexandria, VA 22314
Phone (281) 620-7332

200 Little Falls St
Ste 205
Falls Church, VA 22046
Phone (703) 241-1275

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1083745871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 BELLAMY AVE",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221523025",
            "telephone_number": "703-201-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 BELLAMY AVE",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221523025",
            "telephone_number": "703-201-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELO",
        "first_name": "KATHERINE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.