Individual provider Active NPI

Stephanie Bile Oulatta, MSW

  • Social Worker
  • Manassas, VA
National Provider Identifier
1285290148
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
8721 Plantation LN Ste 302
Manassas, VA 20110-8324
Phone
(571) 307-2324
Fax
(571) 569-4480
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

8721 Plantation LN Ste 302
Manassas, VA 20110-8324

Mailing address

8721 Plantation LN Ste 302
Manassas, VA 20110-8324
Phone (571) 307-2324

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
I20231128001896 VA Practitioner - Clinical Social Worker 2961850201 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prince William County Community Services Board CurrentSince Mar 11, 2024 Accepting new patients
Diverse Expressions Counseling LLC Social Worker CurrentSince Oct 10, 2023 Accepting new patients
Prince William County CurrentSince Mar 11, 2024 Accepting new patients
Catholic Community Services of Western Washington Past Accepting new patients

Locations

7969 Ashton Ave
Manassas, VA 20109
Phone (703) 792-7826

8721 Plantation Ln
Ste 302
Manassas, VA 20110
Phone (571) 307-2324

10752 Ambassador Dr
Ste 201
Manassas, VA 20109
Phone (571) 307-2324

14011 Worth Ave
Ste 110
Woodbridge, VA 22192

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1285290148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8721 PLANTATION LN STE 302",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108324",
            "telephone_number": "571-307-2324",
            "fax_number": "571-569-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 PLANTATION LN STE 302",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108324",
            "telephone_number": "571-307-2324",
            "fax_number": "571-569-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OULATTA",
        "first_name": "STEPHANIE",
        "middle_name": "BILE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.