Nicola De Montille Rough, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008782 Issued in VA

Practice address

109 Park Washington Court
Washington Square
Falls Church, VA 22046

Phone

(703) 533-5825

Fax

(703) 533-8431

NPI assigned

Oct 31, 2011

Last updated

Oct 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nicola Louise De Montille Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1417233792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PARK WASHINGTON COURT",
            "address_2": "WASHINGTON SQUARE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22046",
            "telephone_number": "703-533-5825",
            "fax_number": "703-533-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PARK WASHINGTON COURT",
            "address_2": "WASHINGTON SQUARE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22046",
            "telephone_number": "703-533-5825",
            "fax_number": "703-533-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUGH",
        "first_name": "NICOLA",
        "middle_name": "DE MONTILLE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLA",
            "last_name": "DE MONTILLE",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sylvie Rosenwald
• Carolyn Marie Rosner, NP
• Danielle M Rossi, PA-C
• Stephen Roth, PHARMD
• Michael Rotter, D.D.S.
• Mandana Roushanmeidan, BCBA
• Karen L Rovira
• John Roderick McNeill Rowe, MD, MPH
• McKenzie Pauline Nicole Rowe, MD
• Bahar Rowhani

• Clinical Social Worker in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.