Allison M Marquardt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010841 Issued in VA

Practice address

4229 Lafayette Center Dr Ste 1760
Chantilly, VA 20151-1267

Phone

(703) 865-0003

NPI assigned

Feb 28, 2019

Last updated

Jul 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1326505082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1760",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511267",
            "telephone_number": "571-417-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1760",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511267",
            "telephone_number": "703-865-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUARDT",
        "first_name": "ALLISON",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mala a Britto DDS PC
• Rohini Manda, MD
• Sonnette Stone Manry, RN
• Larisa Ayn Manzo, BCBA
• Mark a Grimes DDS PC
• Laura Marquez
• Martha Marroquin, BEHAVIOR TECHNICIAN
• Abby Marshall
• Nicole Marshall, LCSW
• Brinee Martin

• Clinical Social Worker in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.