Active NPI
Karen Roberts
- Clinical Social Worker
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007822
- Practice address
- 12020 Sunrise Valley Dr Ste 100
Reston, VA 20191-3429 - Phone
- (646) 941-7645
- Fax
- (929) 596-7897
- NPI assigned
- Jan 7, 2025
- Last updated
- Jan 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 0904007822 | VA | Primary |
Addresses
Primary practice location
12020 Sunrise Valley Dr Ste 100
Reston, VA 20191-3429
Mailing address
21950 Garganey Terrace
203
Ashburn, VA 20147-2014
Phone (571) 338-9776
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
21950 Garganey Ter
Unit 203
Ashburn, VA 20147-3052
433 Walnut CT
Pittsburgh, PA 15237-5502
92 Main St
Suite 201
Warrenton, VA 20186-3365
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904007822 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Luck Counseling LLC | Current | Accepting new patients |
Locations
92 Main St
Ste 201
Warrenton, VA 20186
Phone (703) 997-6641
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": "1736208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1295544856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21950 GARGANEY TERRACE",
"address_2": "203",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201472014",
"telephone_number": "571-338-9776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12020 SUNRISE VALLEY DR STE 100",
"city": "RESTON",
"state": "VA",
"postal_code": "201913429",
"telephone_number": "646-941-7645",
"fax_number": "929-596-7897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "KAREN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-07",
"last_updated": "2025-01-07",
"certification_date": "2025-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.