Active NPI
Amanda Jill Cloninger, LMSW
- Clinical Social Worker
- McLean, VA
National Provider Identifier
1194272138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904013168
- Practice address
- 1495 Chain Bridge Rd Ste 300
MC Lean, VA 22101-5727 - Phone
- (703) 598-5559
- NPI assigned
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 27742 | MD | |
| Clinical Social Worker | 1041C0700X | 089439 | NY | |
| Clinical Social Worker | 1041C0700X | 0904013168 | VA | Primary |
Addresses
Primary practice location
1495 Chain Bridge Rd Ste 300
MC Lean, VA 22101-5727
Mailing address
9408 Russell Rd
Silver Spring, MD 20910-1444
Phone (980) 329-5944
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 |
|---|---|---|---|
| 089439 | NY | MD | Clinical Social Worker |
| 0904013168 | VA | MD | Clinical Social Worker |
| 27742 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Weaver and Associates, PLLC | Clinical | 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.
-
dba Weaver and Associates, PLLC
- Clinical Social Worker
- McLean, VA
- NPI 1588030993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1194272138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9408 RUSSELL RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101444",
"telephone_number": "980-329-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1495 CHAIN BRIDGE RD STE 300",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221015727",
"telephone_number": "703-598-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLONINGER",
"first_name": "AMANDA",
"middle_name": "JILL",
"name_prefix": "Miss",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "27742",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "089439",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904013168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.