Individual provider Active NPI

Gretchen Dorr Horst, LCSW

  • Clinical Social Worker
  • Herndon, VA
National Provider Identifier
1104913821
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001567 Issued in VA
Practice address
429B Carlisle Dr # 205
Herndon, VA 20170-4802
Phone
(703) 391-7380
Fax
(703) 783-8655
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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 0904001567 VA Primary

Addresses

Primary practice location

429B Carlisle Dr # 205
Herndon, VA 20170-4802

Mailing address

429B Carlisle Dr # 205
Herndon, VA 20170-4802
Phone (703) 391-7380

Other identifiers 1

IdentifierTypeStateIssuer
102938OtherVAANTHEM

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
I20040729000312 DC Practitioner - Clinical Social Worker 5395715122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

429 B Carlisle Dr
Suite 205
Herndon, VA 20170-4802
Phone (703) 391-7380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Dorr Center, LLC Clinical CurrentSince Dec 1, 2003 Accepting new patients
Stuart Andrews, LLC PastSince Feb 16, 2017 Accepting new patients

Locations

429 Carlisle Dr
Ste B
Herndon, VA 20170
Phone (703) 391-7380

429 Carlisle Dr
Ste 205
Herndon, VA 20170
Phone (703) 391-7380

11870 Sunrise Valley Dr
Ste 200
Reston, VA 20191
Phone (703) 598-0036

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1104913821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429B CARLISLE DR # 205",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704802",
            "telephone_number": "703-391-7380",
            "fax_number": "703-783-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429B CARLISLE DR # 205",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704802",
            "telephone_number": "703-391-7380",
            "fax_number": "703-783-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORST",
        "first_name": "GRETCHEN",
        "middle_name": "DORR",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "102938",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.