Active NPI
Cara Michelle Root, LCSW
- Clinical Social Worker
- Gainesville, VA
National Provider Identifier
1114352572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904008352
- Practice address
- 7350 Heritage Village PLZ
Suite 201
Gainesville, VA 20155-3084 - Phone
- (571) 248-0626
- Fax
- (866) 817-3052
- NPI assigned
- Sep 4, 2013
- 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 | 0904008352 | Primary |
Addresses
Primary practice location
7350 Heritage Village PLZ
Suite 201
Gainesville, VA 20155-3084
Mailing address
2599 Tree House Dr
Woodbridge, VA 22192-1310
Phone (703) 599-2937
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Family Counseling & Play Therapy Center, PLLC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Gainesville, VA
- NPI 1831264738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1114352572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2599 TREE HOUSE DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221921310",
"telephone_number": "703-599-2937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7350 HERITAGE VILLAGE PLZ",
"address_2": "SUITE 201",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553084",
"telephone_number": "571-248-0626",
"fax_number": "866-817-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOT",
"first_name": "CARA",
"middle_name": "MICHELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "0904008352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.