Individual provider Active NPI

Vivian Irene Penelope Sheliga, DSSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1164530960
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3608 Issued in VA
Practice address
6900 Georgia Ave NW
DHCC, BLDG. 2 3G04
Washington, DC 20307-0003
Phone
(202) 782-0916
Fax
(202) 782-3539
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3608 VA Primary

Addresses

Primary practice location

6900 Georgia Ave NW
DHCC, BLDG. 2 3G04
Washington, DC 20307-0003

Mailing address

5446 Mersea CT
Burke, VA 22015-1930
Phone (703) 426-0507

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
3608VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164530960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5446 MERSEA CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151930",
            "telephone_number": "703-426-0507",
            "fax_number": "202-782-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 GEORGIA AVE NW",
            "address_2": "DHCC, BLDG. 2 3G04",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203070003",
            "telephone_number": "202-782-0916",
            "fax_number": "202-782-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELIGA",
        "first_name": "VIVIAN",
        "middle_name": "IRENE PENELOPE",
        "name_prefix": "Dr.",
        "credential": "DSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "3608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.