Individual provider Active NPI

Denise Murdock, LCSW

  • Clinical Social Worker
  • Ashburn, VA
National Provider Identifier
1174630974
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003771 Issued in VA
Practice address
44790 Maynard SQ Ste 130
Ashburn, VA 20147-6514
Phone
(703) 542-3737
NPI assigned
Aug 25, 2006
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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 0904003771 VA Primary

Addresses

Primary practice location

44790 Maynard SQ Ste 130
Ashburn, VA 20147-6514

Mailing address

20270 Sprucegrove SQ
Ashburn, VA 20147-2390
Phone (703) 723-6090

Other practice location 1

102 Heritage Way NE
Suite 302
Leesburg, VA 20176-4544
Phone (703) 771-5100

Other identifiers 4

IdentifierTypeStateIssuer
298369OtherVAAMERIGROUP
183941OtherVAANTHEM
183944OtherVAANTHEM
8926166MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000791 VA Practitioner - Clinical Social Worker 5395771703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
All Hope Behavioral Health Services PCGroup PAC ID 9739225939, 8 clinicians

Practice addresses (Care Compare)

44790 Maynard SQ
Suite 130
Ashburn, VA 20147-6514
Phone (703) 542-3737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904003771VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
All Hope Behavioral Health Services, PC CurrentSince Apr 1, 2018 Accepting new patients
T Med Behavioral Inc Clinical Past Accepting new patients

Locations

44790 Maynard Sq
Ste 130
Ashburn, VA 20147
Phone (703) 542-3737

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1174630974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20270 SPRUCEGROVE SQ",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201472390",
            "telephone_number": "703-723-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44790 MAYNARD SQ STE 130",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476514",
            "telephone_number": "703-542-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Heritage Way NE",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201764544",
            "country_code": "US",
            "telephone_number": "703-771-5100",
            "fax_number": "703-777-0170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "298369",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "183941",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "183944",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8926166",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.