Active NPI
Susan Maguire, LCSW
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1164944815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904009884
- Practice address
- 2416 Londonderry Rd
Alexandria, VA 22308-2328 - Phone
- (703) 465-2880
- Fax
- (703) 465-2880
- NPI assigned
- Jul 14, 2017
- Last updated
- Jul 14, 2017
- 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 | 0904009884 | VA | Primary |
Addresses
Primary practice location
2416 Londonderry Rd
Alexandria, VA 22308-2328
Mailing address
2416 Londonderry Rd
Alexandria, VA 22308-2328
Phone (703) 465-2880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 25, 2020 through Jun 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904009884 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499990400000",
"number": "1164944815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2416 LONDONDERRY RD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223082328",
"telephone_number": "703-465-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2416 LONDONDERRY RD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223082328",
"telephone_number": "703-465-2880",
"fax_number": "703-465-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGUIRE",
"first_name": "SUSAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2017-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904009884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.