Active NPI
Rita Theresa Maise I, LCSW
- Clinical Social Worker
- Woodbridge, VA
National Provider Identifier
1346340403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904001261
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904001261 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renee Burdett, MD PC | Past | Accepting new patients | |
| TMS Neurohealth Centers Woodbridge LLC | Past | Accepting new patients | |
| Prince William Family Counseling, P.C. | Past | 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.
-
- Mental Health Counselor
- Manassas, VA
- NPI 1205868791
-
- Multi-Specialty Clinic/Center
- Woodbridge, VA
- NPI 1760540967
-
- Clinic/Center
- Woodbridge, VA
- NPI 1942662259
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.