Active NPI
Rabia Ann Castellano-Datta, LCSW
- Clinical Social Worker
- Fairfax, VA
National Provider Identifier
1275206971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904013094
- Practice address
- 8221 Willow Oaks Corporate Dr Ste 420
Fairfax, VA 22031-4512 - Phone
- (571) 623-3500
- NPI assigned
- Jul 28, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904013094 | VA | Primary |
Addresses
Primary practice location
8221 Willow Oaks Corporate Dr Ste 420
Fairfax, VA 22031-4512
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other practice location 1
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000
Other practice location 2
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
Other practice location 3
2501 Parkers Ln
Alexandria, VA 22306-3209
Phone (703) 664-7000
Other practice location 4
224 Cornwall St NW
Leesburg, VA 20176-2701
Phone (703) 771-2894
Other practice location 5
44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000
Other practice location 6
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904013094 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1275206971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37174",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973174",
"telephone_number": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8221 WILLOW OAKS CORPORATE DR STE 420",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314512",
"telephone_number": "571-623-3500"
}
],
"practiceLocations": [
{
"address_1": "4320 Seminary Rd",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223041535",
"country_code": "US",
"telephone_number": "703-504-3000",
"fax_number": "703-504-3388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 Joseph Siewick Dr",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220331709",
"country_code": "US",
"telephone_number": "703-391-3600",
"fax_number": "703-391-3414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 Parkers Ln",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223063209",
"country_code": "US",
"telephone_number": "703-664-7000",
"fax_number": "703-664-7666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "224 Cornwall St NW",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "VA",
"postal_code": "201762701",
"country_code": "US",
"telephone_number": "703-771-2894",
"fax_number": "703-779-5429",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44045 Riverside Pkwy",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "VA",
"postal_code": "201765101",
"country_code": "US",
"telephone_number": "703-858-6000",
"fax_number": "703-858-6900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Gallows Rd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220423307",
"country_code": "US",
"telephone_number": "703-776-4001",
"fax_number": "703-776-7113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTELLANO-DATTA",
"first_name": "RABIA",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904013094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.