Elizabeth Anne Brocato, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006752 Issued in VA

Practice address

11204 Waples Mill Rd
Fairfax, VA 22030-6036

Phone

(703) 218-8571

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1154447662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 WYNDHAM CIR",
            "address_2": "#352",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223024335",
            "telephone_number": "213-926-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11204 WAPLES MILL RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306036",
            "telephone_number": "703-218-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCATO",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23651",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Briody
• Bristol Hospice Fairfax LLC
• Briteangel Transportation LLC
• Morgan Brittain, M.A., CCC-SLP
• Molly Boyer Broache, W.H.N.P.
• Nancy Farmer Brockway, OT/L
• Richard Arthur Broderick, MD
• Phyllis Brodie, PHD
• Clinton Lee Brogdon, LPC
• Erin Quigley Brognano, MS, OTR/L

• Clinical Social Worker in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.