Individual provider Active NPI

Latoya Cheatham, LCSW

  • Clinical Social Worker
  • Woodbridge, VA
National Provider Identifier
1134531569
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008600 Issued in VA
Practice address
13649 Office PL Ste 102
Woodbridge, VA 22192-4215
Phone
(703) 670-5738
NPI assigned
May 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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 0904008600 VA Primary

Addresses

Primary practice location

13649 Office PL Ste 102
Woodbridge, VA 22192-4215

Mailing address

13649 Office PL Ste 102
Woodbridge, VA 22192-4215
Phone (703) 670-5738

Other identifiers 1

IdentifierTypeStateIssuer
256400OtherVAANTHEM BCBS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address christinacfcc@comcast.net Direct
Direct Messaging Address christinacfcc@comcast.net Health Information Exchange (HIE)

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
I20250424003651 VA Practitioner - Clinical Social Worker 8022534791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth University, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renee Burdett, MD PCGroup PAC ID 2264583764, 4 clinicians

Practice addresses (Care Compare)

13649 Office PL
Suite 102
Woodbridge, VA 22192-4215
Phone (703) 670-5738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008600VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renee Burdett, MD PC CurrentSince Apr 8, 2025 Accepting new patients
TMS Neurohealth Centers Woodbridge LLC PastSince Jan 26, 2020 Accepting new patients

Locations

13649 Office Pl
Ste 102
Woodbridge, VA 22192
Phone (703) 670-5738

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": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1134531569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13649 OFFICE PL STE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924215",
            "telephone_number": "703-670-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13649 OFFICE PL STE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924215",
            "telephone_number": "703-670-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATHAM",
        "first_name": "LATOYA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "256400",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christinacfcc@comcast.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "13649 Office Pl Ste 102",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221924215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christinacfcc@comcast.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email.",
            "address_1": "13649 Office Pl Ste 102",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221924215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.