Individual provider Active NPI

Lonnica Darden

  • Clinical Social Worker
  • Manassas, VA
National Provider Identifier
1184161168
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010592 Issued in VA
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

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X MD
Counselor 101Y00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
0904010592VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.