Individual provider Active NPI

Racquel Semeraro, LCSW

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1295149110
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008497 Issued in VA
Practice address
10560 Main St Ste 311
Fairfax, VA 22030-7175
Phone
(571) 277-1771
NPI assigned
Jun 18, 2014
Last updated
Oct 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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 0904008497 VA Primary

Addresses

Primary practice location

10560 Main St Ste 311
Fairfax, VA 22030-7175

Mailing address

6072 Camerons Ferry Dr
Haymarket, VA 20169-3332
Phone (571) 277-1771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 17, 2023 through Aug 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904008497VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Racquel Semeraro Inc. Clinical CurrentSince Oct 13, 2019 Accepting new patients

Locations

10560 Main St
Ste 310
Fairfax, VA 22030
Phone (571) 277-1771

10560 Main St
Ste 311
Fairfax, VA 22030
Phone (571) 277-1771

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, 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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1295149110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6072 CAMERONS FERRY DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201693332",
            "telephone_number": "571-277-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST STE 311",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307175",
            "telephone_number": "571-277-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMERARO",
        "first_name": "RACQUEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.