Individual provider Active NPI

Elizabeth Martinez Cerrato, MSW, LCSW

  • Clinical Social Worker
  • Woodbridge, VA
National Provider Identifier
1154109189
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904016855 Issued in VA
Practice address
4001 Prince William Pkwy Ste 301
Woodbridge, VA 22192-7667
Phone
(703) 688-8541
NPI assigned
Sep 20, 2023
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0903003861 VA
Clinical Social Worker 1041C0700X 0904016855 VA Primary

Addresses

Primary practice location

4001 Prince William Pkwy Ste 301
Woodbridge, VA 22192-7667

Mailing address

18025 Cutts Ave
Quantico, VA 22134-1968
Phone (408) 655-0315

Other names 1

  • Elizabeth Martinez Former name

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
I20240903000863 VA Practitioner - Clinical Social Worker 9638618838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Mental Health of Virginia LLCGroup PAC ID 5395104319, 4 clinicians

Practice addresses (Care Compare)

9400 Innovation Dr
Suite 104
Manassas, VA 20110-2226
Phone (571) 626-4231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0903003861VAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Mental Health of Virginia, LLC Clinical CurrentSince May 17, 2024 Accepting new patients

Locations

9400 Innovation Dr
Ste 104
Manassas, VA 20110
Phone (571) 506-7861

4001 Prince William Pkwy
Ste 301
Woodbridge, VA 22192
Phone (703) 670-2895

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1154109189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18025 CUTTS AVE",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221341968",
            "telephone_number": "408-655-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 PRINCE WILLIAM PKWY STE 301",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927667",
            "telephone_number": "703-688-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRATO",
        "first_name": "ELIZABETH",
        "middle_name": "MARTINEZ",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903003861",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MARTINEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.