Individual provider Active NPI

Maria Paula Gaudino, LCSW

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1407202609
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007412 Issued in VA
Practice address
6910 Richmond Hwy
Suite 110
Alexandria, VA 22306-1849
Phone
(703) 398-7105
NPI assigned
May 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904007412 VA Primary
Clinical Social Worker 1041C0700X LC3000756 DC

Addresses

Primary practice location

6910 Richmond Hwy
Suite 110
Alexandria, VA 22306-1849

Mailing address

6910 Richmond Hwy
Suite 110
Alexandria, VA 22306-1849

Other identifiers 2

IdentifierTypeStateIssuer
0904007412OtherVALCSW
LC3000756OtherDCLICSW

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
I20160620000713 DC Practitioner - Clinical Social Worker 4082905203 Reassigns benefits to 1 organization
I20160624002020 VA Practitioner - Clinical Social Worker 4082905203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC3000756DCMDClinical Social Worker

Organizations & group practices 1

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": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1407202609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 RICHMOND HWY",
            "address_2": "SUITE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223061849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 RICHMOND HWY",
            "address_2": "SUITE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223061849",
            "telephone_number": "703-398-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDINO",
        "first_name": "MARIA",
        "middle_name": "PAULA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007412",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC3000756",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "0904007412",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "LC3000756",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.