Active NPI
Rhonda L. Williams, L.C.S.W.
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1104980242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904004514
- Practice address
- 4850 Mark Center Dr
Alexandria, VA 22311-1882 - Phone
- (703) 746-3400
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904004514 | VA | Primary |
Addresses
Primary practice location
4850 Mark Center Dr
Alexandria, VA 22311-1882
Mailing address
PO Box 1702
Springfield, VA 22151-0702
Phone (703) 838-6400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 546001103002 | Other | VA | TRICARE |
| 298946 | Other | VA | AMERIGROUP VA INC. |
| 187423-188530 | Other | VA | ANTHEM |
| 0081 | Other | VA | CAREFIRST BCBS |
| 004945026 | Medicaid | VA |
Other names 1
- Rhonda L. Rivera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904004514 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1104980242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1702",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221510702",
"telephone_number": "703-838-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 MARK CENTER DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223111882",
"telephone_number": "703-746-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RHONDA",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904004514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "546001103002",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP VA INC.",
"identifier": "298946",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "187423-188530",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "0081",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945026",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RHONDA",
"last_name": "RIVERA",
"middle_name": "L.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.