Individual provider Active NPI

Rita Theresa Maise I, LCSW

  • Clinical Social Worker
  • Woodbridge, VA
National Provider Identifier
1346340403
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001261 Issued in VA
Practice address
13649 Office PL
#102
Woodbridge, VA 22192-4215
Phone
(703) 670-5738
Fax
(703) 670-8213
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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 0904001261 VA Primary

Addresses

Primary practice location

13649 Office PL
#102
Woodbridge, VA 22192-4215

Mailing address

10125 Wood Green Way
Burke, VA 22015-2714
Phone (703) 503-7849

Other names 1

  • Ms. Rita Theresa Maiswinkle I Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904001261VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renee Burdett, MD PC PastSince Apr 8, 2025 Accepting new patients
TMS Neurohealth Centers Woodbridge LLC Past Accepting new patients
Prince William Family Counseling, P.C. PastSince Mar 6, 2013 Accepting new patients
Woodbridge Therapy Group LLC Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1346340403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 WOOD GREEN WAY",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152714",
            "telephone_number": "703-503-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13649 OFFICE PL",
            "address_2": "#102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924215",
            "telephone_number": "703-670-5738",
            "fax_number": "703-670-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISE",
        "first_name": "RITA",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "MAISWINKLE",
            "middle_name": "THERESA",
            "prefix": "MS.",
            "suffix": "I",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.