Active NPI
Deborah F Sudduth, LCSW
- Social Worker
- Leesburg, VA
National Provider Identifier
1407976277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0904000366
- Practice address
- 801 Childrens Center Rd SW
Leesburg, VA 20175-2545 - Phone
- (703) 777-3485
- NPI assigned
- Mar 29, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 0904000366 | VA | Primary |
Addresses
Primary practice location
801 Childrens Center Rd SW
Leesburg, VA 20175-2545
Mailing address
PO Box 82
Lincoln, VA 20160-0082
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 |
|---|---|---|---|
| 0904000366 | VA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1407976277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82",
"city": "LINCOLN",
"state": "VA",
"postal_code": "201600082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 CHILDRENS CENTER RD SW",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201752545",
"telephone_number": "703-777-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDDUTH",
"first_name": "DEBORAH",
"middle_name": "F",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0904000366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.