Active NPI
Lonnica Darden
- Clinical Social Worker
- Manassas, VA
National Provider Identifier
1184161168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904010592
- Practice address
- 7611 Coppermine Dr
Manassas, VA 20109-2668 - Phone
- (703) 496-7804
- Fax
- (540) 898-1040
- NPI assigned
- Jan 27, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | MD | ||
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | 0904010592 | VA | Primary |
Addresses
Primary practice location
7611 Coppermine Dr
Manassas, VA 20109-2668
Mailing address
3040 Avemore Square PL
Charlottesville, VA 22911-7228
Phone (703) 496-7804
Other practice location 1
4300 SW 13th St
Gainesville, FL 32608-4006
Phone (352) 376-5600
Other practice location 2
314 Philadelphia Ave
Takoma Park, MD 20912-4210
Phone (240) 292-1719
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904010592 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Language and Behavior Center LLC | Multi-Specialty | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Silver Spring, MD
- NPI 1376048611
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1184161168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 AVEMORE SQUARE PL",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229117228",
"telephone_number": "703-496-7804",
"fax_number": "540-898-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7611 COPPERMINE DR",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201092668",
"telephone_number": "703-496-7804",
"fax_number": "540-898-1040"
}
],
"practiceLocations": [
{
"address_1": "4300 SW 13th St",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326084006",
"country_code": "US",
"telephone_number": "352-376-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "314 Philadelphia Ave",
"address_purpose": "LOCATION",
"city": "Takoma Park",
"state": "MD",
"postal_code": "209124210",
"country_code": "US",
"telephone_number": "240-292-1719",
"fax_number": "240-265-0665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DARDEN",
"first_name": "LONNICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-27",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904010592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.