Individual provider Active NPI

Ekaterina Pozo

  • Clinical Social Worker
  • Charlottesville, VA
National Provider Identifier
1124890553
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015985 Issued in VA
Practice address
277 Hydraulic Ridge Rd Ste 102
Charlottesville, VA 22901-8127
Phone
(434) 218-2175
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 0904015985 VA Primary

Addresses

Primary practice location

277 Hydraulic Ridge Rd Ste 102
Charlottesville, VA 22901-8127

Mailing address

277 Hydraulic Ridge Rd Ste 102
Charlottesville, VA 22901-8127
Phone (434) 218-2175

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

State licenses

LicenseStateTypeSpecialty
0904015985VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1124890553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 HYDRAULIC RIDGE RD STE 102",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018127",
            "telephone_number": "434-218-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 HYDRAULIC RIDGE RD STE 102",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018127",
            "telephone_number": "434-218-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZO",
        "first_name": "EKATERINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.