Individual provider Active NPI

Carol E Ellinger, LCSW

  • Clinical Social Worker
  • Fredericksburg, VA
National Provider Identifier
1366449738
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006055 Issued in VA
Practice address
600 Princess Anne Street
Suite 8123
Fredericksburg, VA 22401-5915
Phone
(540) 371-0328
Fax
(540) 783-5003
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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 0904006055 VA Primary

Addresses

Primary practice location

600 Princess Anne Street
Suite 8123
Fredericksburg, VA 22401-5915

Mailing address

998 Meadow CT
Front Royal, VA 22630-5301
Phone (540) 660-9108

Other practice location 1

998 Meadow Ct
Front Royal, VA 22630-5301
Phone (540) 660-9108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061013000080 VA Practitioner - Clinical Social Worker 9537165659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of South Carolina School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Online Counseling Services of Virginia LLCGroup PAC ID 6709320807, 3 clinicians

Practice addresses (Care Compare)

600 Princess Anne St
Suite 8123
Fredericksburg, VA 22401-5915
Phone (540) 371-0328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904006055VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Online Counseling Services of Virginia, LLC Clinical CurrentSince May 17, 2024 Accepting new patients
Chapman Senior Care, Inc. Clinical PastSince Apr 9, 2011 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1366449738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 MEADOW CT",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226305301",
            "telephone_number": "540-660-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PRINCESS ANNE STREET",
            "address_2": "SUITE 8123",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015915",
            "telephone_number": "540-371-0328",
            "fax_number": "540-783-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "998 Meadow Ct",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226305301",
            "country_code": "US",
            "telephone_number": "540-660-9108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLINGER",
        "first_name": "CAROL",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2024-05-02",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.