Individual provider Active NPI

Laura Schoenborn, MSW, LCSW

  • Clinical Social Worker
  • Woodbridge, VA
National Provider Identifier
1235918053
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015825 Issued in VA
Practice address
4001 Prince William Pkwy Ste 301
Woodbridge, VA 22192-7667
Phone
(703) 688-8541
Fax
(703) 213-5025
NPI assigned
Sep 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 0904015825 VA Primary

Addresses

Primary practice location

4001 Prince William Pkwy Ste 301
Woodbridge, VA 22192-7667

Mailing address

4001 Prince William Pkwy Ste 301
Woodbridge, VA 22192-7667
Phone (703) 688-8541

Other practice location 1

7611 Coppermine Dr
Manassas, VA 20109-2668
Phone (703) 409-7791

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
I20240327003094 VA Practitioner - Clinical Social Worker 3577900463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Mental Health of Virginia LLCGroup PAC ID 5395104319, 4 clinicians

Practice addresses (Care Compare)

4001 Prince William Pkwy
Suite 301
Woodbridge, VA 22192-7667
Phone (703) 688-8541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904015825VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Mental Health of Virginia, LLC Clinical CurrentSince Apr 15, 2024 Accepting new patients

Locations

9400 Innovation Dr
Ste 104
Manassas, VA 20110
Phone (571) 506-7861

4001 Prince William Pkwy
Ste 301
Woodbridge, VA 22192
Phone (703) 670-2895

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": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1235918053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 PRINCE WILLIAM PKWY STE 301",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927667",
            "telephone_number": "703-688-8541",
            "fax_number": "703-213-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 PRINCE WILLIAM PKWY STE 301",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927667",
            "telephone_number": "703-688-8541",
            "fax_number": "703-213-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7611 Coppermine Dr",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201092668",
            "country_code": "US",
            "telephone_number": "703-409-7791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOENBORN",
        "first_name": "LAURA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.