Individual provider Active NPI

Deborah Marie Bumbaugh, LCSW

  • Clinical Social Worker
  • Falls Church, VA
National Provider Identifier
1336566777
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008121 Issued in VA
Practice address
3120 Fairview Park Dr Ste 240
Falls Church, VA 22042-4569
Phone
(703) 228-1600
Fax
(703) 228-1117
NPI assigned
Mar 24, 2014
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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 0904008121 VA Primary

Addresses

Primary practice location

3120 Fairview Park Dr Ste 240
Falls Church, VA 22042-4569

Mailing address

6624 Colton Crawford Cir Apt 305
Falls Church, VA 22042-6655
Phone (410) 960-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curo Consulting LLC CurrentSince Oct 15, 2023 Accepting new patients

Locations

3120 Fairview Park Dr
Ste 240
Falls Church, VA 22042
Phone (410) 960-8833

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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1336566777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 COLTON CRAWFORD CIR APT 305",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220426655",
            "telephone_number": "410-960-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 FAIRVIEW PARK DR STE 240",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220424569",
            "telephone_number": "703-228-1600",
            "fax_number": "703-228-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMBAUGH",
        "first_name": "DEBORAH",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.