Individual provider Active NPI

Marcie Leigh Perkins, LCSW, LCPC

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1164940318
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904012767 Issued in VA
Practice address
8221 Willow Oaks Corporate Dr Ste 4-420
Fairfax, VA 22031-4512
Phone
(703) 289-7560
Fax
(703) 204-9001
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180010077 IL
Clinical Social Worker 1041C0700X 149017695 IL
Clinical Social Worker 1041C0700X DP00945674 WV
Clinical Social Worker 1041C0700X 0904012767 VA Primary

Addresses

Primary practice location

8221 Willow Oaks Corporate Dr Ste 4-420
Fairfax, VA 22031-4512

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

1217 N Honore St Unit 1
Chicago, IL 60622-3188
Phone (301) 938-4110

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address membersit793233@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, VA, DC, DE, NC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20171115002741 IL Practitioner - Clinical Social Worker 5991061418 Reassigns benefits to 1 organization
I20211220002256 VA Practitioner - Clinical Social Worker 5991061418 Reassigns benefits to 2 organizations
I20211222000224 DC Practitioner - Clinical Social Worker 5991061418 Reassigns benefits to 1 organization
I20230221001439 DE Practitioner - Clinical Social Worker 5991061418 Reassigns benefits to 1 organization
I20230412002185 NC Practitioner - Clinical Social Worker 5991061418 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180010077ILMDProfessional Counselor
DP00945674WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Mecklenburg County, PLLC Clinical CurrentSince Apr 17, 2023 Accepting new patients
Inova Health Care Services CurrentSince Dec 6, 2021 Accepting new patients
CMH Physician Services, LLC CurrentSince Oct 23, 2021 Accepting new patients
Davken Associates, P.C. CurrentSince Nov 1, 2017 Accepting new patients
Tidalhealth Nanticoke, Inc CurrentSince Feb 1, 2023 Accepting new patients
Inova Health Care Services CurrentSince Dec 6, 2021 Accepting new patients
CMH Physician Services, LLC CurrentSince Oct 23, 2021 Accepting new patients
Inpathy Behavioral Healthcare Group LLC Past Accepting new patients

Locations

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

8221 Willow Oaks Corporate Dr
Ste 4420
Fairfax, VA 22031
Phone (703) 289-7599

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

44045 Riverside Pkwy
#1S
Leesburg, VA 20176
Phone (571) 472-0321

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

Interoperability endpoints

  • Direct secure messaging: membersit793233@soc.inova.org
  • Direct secure messaging: marcie.embersit.1@24284.direct.athenahealth.com
  • Direct secure messaging: marcie.perkins.1@17026.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1164940318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 WILLOW OAKS CORPORATE DR STE 4-420",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314512",
            "telephone_number": "703-289-7560",
            "fax_number": "703-204-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 N Honore St Unit 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606223188",
            "country_code": "US",
            "telephone_number": "301-938-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "MARCIE",
        "middle_name": "LEIGH",
        "credential": "LCSW, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010077",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017695",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00945674",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "membersit793233@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8221 Willow Oaks Corporate Dr Ste 4-420",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.