Individual provider Active NPI

Tonia Gregory

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1427716638
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011514 Issued in VA
Practice address
109 Oronoco St
Alexandria, VA 22314-2015
Phone
(703) 662-1591
NPI assigned
Dec 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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 0904011514 VA Primary

Addresses

Primary practice location

109 Oronoco St
Alexandria, VA 22314-2015

Mailing address

109 Oronoco St
Alexandria, VA 22314-2015
Phone (703) 662-1591

Other practice location 1

2312 Mount Vernon Ave Ste 206
Alexandria, VA 22301-1375
Phone (703) 662-1591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 30, 2023 through Jan 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904011514VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1638576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1427716638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ORONOCO ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142015",
            "telephone_number": "703-662-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ORONOCO ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142015",
            "telephone_number": "703-662-1591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2312 Mount Vernon Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223011375",
            "country_code": "US",
            "telephone_number": "703-662-1591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "TONIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-04",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.