Active NPI
Marjorie De Veer, LICSW
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1235456583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50079152
- Practice address
- 507 E Bellefonte Ave
Alexandria, VA 22301-1200 - Phone
- (571) 414-8585
- NPI assigned
- Apr 27, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50079152 | DC | Primary |
| Social Worker | 104100000X | 72073623 | NY |
Addresses
Primary practice location
507 E Bellefonte Ave
Alexandria, VA 22301-1200
Mailing address
3000 Connecticut Ave NW
Washington, DC 20008
Phone (202) 588-1288
Other practice location 1
460 W 41st St
New York, NY 10036-6801
Phone (212) 330-0594
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 |
|---|---|---|---|
| 72073623 | NY | MD | Social Worker |
| LC50079152 | DC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Under 21 | 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.
-
- Clinic/Center
- New York, NY
- NPI 1053588988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1235456583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 CONNECTICUT AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20008",
"telephone_number": "202-588-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 E BELLEFONTE AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223011200",
"telephone_number": "571-414-8585"
}
],
"practiceLocations": [
{
"address_1": "460 W 41st St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100366801",
"country_code": "US",
"telephone_number": "212-330-0594",
"fax_number": "212-330-0591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE VEER",
"first_name": "MARJORIE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-27",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50079152",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "72073623",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.