Active NPI
Danielle Christina Nieto, LCSW
- Clinical Social Worker
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904009112
- Practice address
- 4528 Plank Rd # A1
Fredericksburg, VA 22407-0141 - Phone
- (540) 845-6490
- NPI assigned
- Jan 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904009112 | VA | Primary |
Addresses
Primary practice location
4528 Plank Rd # A1
Fredericksburg, VA 22407-0141
Mailing address
6506 Crittenden LN
Spotsylvania, VA 22553-1893
Phone (540) 429-4347
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14000 Crown CT
Suite 101
Woodbridge, VA 22193-1461
Phone (703) 659-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904009112 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth for Tomorrow New Life Center, Inc. | Multi-Specialty | Current | Accepting new patients |
Locations
11835 Hazel Circle Dr
Bristow, VA 20136
Phone (703) 368-7995
3800 Fettler Park Dr
Ste 103
Dumfries, VA 22025
14000 Crown Ct
Ste 101
Woodbridge, VA 22193
Phone (703) 659-9900
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 and National Provider Directory roles.
-
- Psychiatric Residential Treatment Facility
- Bristow, VA
- NPI 1316118292
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546300800000",
"number": "1154893147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6506 CRITTENDEN LN",
"city": "SPOTSYLVANIA",
"state": "VA",
"postal_code": "225531893",
"telephone_number": "540-429-4347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4528 PLANK RD # A1",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224070141",
"telephone_number": "540-845-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIETO",
"first_name": "DANIELLE",
"middle_name": "CHRISTINA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-01",
"last_updated": "2019-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904009112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.