Active NPI
Barbara L. Dodd, LCSW
- Clinical Social Worker
- Reston, VA
National Provider Identifier
1366685646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904004679
- Practice address
- 12050 S Lakes Dr
Reston, VA 20191-1220 - Phone
- (703) 777-8332
- NPI assigned
- Apr 15, 2009
- 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 | 0904004679 | VA | Primary |
Addresses
Primary practice location
12050 S Lakes Dr
Reston, VA 20191-1220
Mailing address
12050 S Lakes Dr
Reston, VA 20191-1220
Phone (703) 777-8332
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904004679 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239753600000",
"number": "1366685646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12050 S LAKES DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201911220",
"telephone_number": "703-777-8332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12050 S LAKES DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201911220",
"telephone_number": "703-777-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODD",
"first_name": "BARBARA",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-15",
"last_updated": "2009-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904004679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.