Individual provider Active NPI

Jill A Lamorie, DSW, LCSW

  • Clinical Social Worker
  • Occoquan, VA
National Provider Identifier
1093163545
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090400825 Issued in VA
Practice address
204 Ellicott St
Occoquan, VA 22125-7714
Phone
(703) 490-9681
Fax
(703) 490-9682
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2016

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 090400825 VA Primary

Addresses

Primary practice location

204 Ellicott St
Occoquan, VA 22125-7714

Mailing address

PO Box 665
Occoquan, VA 22125-0665
Phone (703) 490-9681

Other names 1

  • Dr. Jill Harrington-Lamorie Professional name

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
I20161227000297 VA Practitioner - Clinical Social Worker 0941581375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090400825VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1093163545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "city": "OCCOQUAN",
            "state": "VA",
            "postal_code": "221250665",
            "telephone_number": "703-490-9681",
            "fax_number": "703-490-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ELLICOTT ST",
            "city": "OCCOQUAN",
            "state": "VA",
            "postal_code": "221257714",
            "telephone_number": "703-490-9681",
            "fax_number": "703-490-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMORIE",
        "first_name": "JILL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "090400825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "HARRINGTON-LAMORIE",
            "prefix": "DR.",
            "credential": "DSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Occoquan, VA

Sources for this page

Verify at the official NPI Registry.