Active NPI
Rachel Henry, LCSW
- Clinical Social Worker
- Herndon, VA
National Provider Identifier
1366054157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904013566
- Practice address
- 478 Elden St # 153
Herndon, VA 20170-4513 - Phone
- (571) 303-1192
- NPI assigned
- Aug 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904013566 | VA | Primary |
| Social Worker | 104100000X | I.2506610 | OH |
Addresses
Primary practice location
478 Elden St # 153
Herndon, VA 20170-4513
Mailing address
478 Elden St # 153
Herndon, VA 20170-4513
Phone (571) 306-1192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 24, 2022 through Oct 24, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.2506610 | OH | MD | Social Worker |
| 0904013566 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1366054157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "478 ELDEN ST # 153",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704513",
"telephone_number": "571-306-1192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "478 ELDEN ST # 153",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704513",
"telephone_number": "571-303-1192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "RACHEL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-21",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904013566",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.2506610",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.