Individual provider Active NPI

Janae W. House, LCSW

  • Clinical Social Worker
  • Midlothian, VA
National Provider Identifier
1184686271
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001169 Issued in VA
Practice address
1133 Jefferson Green Cir
Suite100
Midlothian, VA 23113-4300
Phone
(804) 751-0453
Fax
(804) 796-1997
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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 0904001169 VA Primary

Addresses

Primary practice location

1133 Jefferson Green Cir
Suite100
Midlothian, VA 23113-4300

Mailing address

PO Box 555
Midlothian, VA 23113-0555
Phone (804) 794-7777

Other identifiers 1

IdentifierTypeStateIssuer
010005141MedicaidVA

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
I20110607000873 VA Practitioner - Clinical Social Worker 2466639034 Practice locations: Midlothian, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1133 Jefferson Green Cir
Midlothian, VA 23113-4300
Phone (804) 794-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia South Psychiatric & Family Services PastSince Aug 26, 2002 Accepting new patients
Empowerment Counseling, LLC Clinical PastSince Jul 10, 2018 Accepting new patients
Hope Counseling and Wellness PastSince Apr 1, 2003 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72142

Organizations & group practices 3

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1184686271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231130555",
            "telephone_number": "804-794-7777",
            "fax_number": "804-794-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 JEFFERSON GREEN CIR",
            "address_2": "SUITE100",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134300",
            "telephone_number": "804-751-0453",
            "fax_number": "804-796-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "JANAE",
        "middle_name": "W.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010005141",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.