Active NPI
Janet Lynn Hyman, LCSW
- Clinical Social Worker
- Reston, VA
National Provider Identifier
1194881631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904001679
- Practice address
- 12050 S Lakes Dr
Reston, VA 20191-1220 - Phone
- (703) 476-5974
- Fax
- (703) 860-8824
- NPI assigned
- Dec 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904001679 | VA | Primary |
Addresses
Primary practice location
12050 S Lakes Dr
Reston, VA 20191-1220
Mailing address
12050 S Lakes Dr
Reston, VA 20191-1220
Phone (703) 476-5974
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 586077924 | Other | VA | TRICARE |
| 224188 | Other | VA | ANTHEM BLUE CROSS |
| 138242 | Other | VA | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120530000184 | DC | Practitioner - Clinical Social Worker | 3779746839 | Practice locations: Reston, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12050 S Lakes Dr
Reston, VA 20191-1220
Phone (703) 476-5974
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1194881631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12050 S LAKES DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201911220",
"telephone_number": "703-476-5974",
"fax_number": "703-860-8824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12050 S LAKES DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201911220",
"telephone_number": "703-476-5974",
"fax_number": "703-860-8824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYMAN",
"first_name": "JANET",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904001679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "586077924",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "224188",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "138242",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.