Individual provider Active NPI

Dianne H Andruzzi, LCSW

  • Social Worker
  • Ashburn, VA
National Provider Identifier
1346513199
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0904007857 Issued in VA
Practice address
21393 Maidsville CT
Ashburn, VA 20147
Phone
(703) 495-3123
NPI assigned
Feb 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0904007857 VA Primary

Addresses

Primary practice location

21393 Maidsville CT
Ashburn, VA 20147

Mailing address

44050 Ashburn Shopping PLZ Ste 195
Ashburn, VA 20147-7916
Phone (703) 495-3123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120307000566 DC Practitioner - Clinical Social Worker 2860651056 Reassigns benefits to 1 organization
I20180420002058 VA Practitioner - Clinical Social Worker 2860651056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

44050 Ashburn Shopping PLZ
Suite 195
Ashburn, VA 20147-7916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007857VAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Counseling Services LLC CurrentSince Feb 2, 2018 Accepting new patients
Durham-Chapel Hill Jewish Federation PastSince Jun 13, 2013 Accepting new patients

Locations

44355 Premier Plz
Ste 120
Ashburn, VA 20147
Phone (703) 495-3123

44050 Ashburn Shopping Plz
Ste 195
Ashburn, VA 20147
Phone (703) 495-3123

Organizations & group practices 2

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": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1346513199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44050 ASHBURN SHOPPING PLZ STE 195",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477916",
            "telephone_number": "703-495-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21393 MAIDSVILLE CT",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20147",
            "telephone_number": "703-495-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUZZI",
        "first_name": "DIANNE",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-09",
        "last_updated": "2022-05-03",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904007857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.