Individual provider Active NPI

Noelle Elise Castoro, LCSW

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1134871049
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011404 Issued in VA
Practice address
3923 Old Lee Hwy Ste 63D
Fairfax, VA 22030-2428
Phone
(757) 362-2216
NPI assigned
Jan 21, 2022
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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 0904011404 VA Primary

Addresses

Primary practice location

3923 Old Lee Hwy Ste 63D
Fairfax, VA 22030-2428

Mailing address

8133 Blandsford Dr
Manassas, VA 20111-2949
Phone (757) 362-2216

Other practice location 1

8133 Blandsford Dr
Manassas, VA 20111-2949
Phone (757) 362-2216

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
0904011404VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1134871049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 BLANDSFORD DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201112949",
            "telephone_number": "757-362-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 OLD LEE HWY STE 63D",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302428",
            "telephone_number": "757-362-2216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8133 Blandsford Dr",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201112949",
            "country_code": "US",
            "telephone_number": "757-362-2216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTORO",
        "first_name": "NOELLE",
        "middle_name": "ELISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.