Individual provider Active NPI

Abigail Sedaghatfar McAlister, LCSW

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1437795077
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011278 Issued in VA
Practice address
3750 Old Lee Hwy
Fairfax, VA 22030-1806
Phone
(571) 659-1924
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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 0904011278 VA Primary

Addresses

Primary practice location

3750 Old Lee Hwy
Fairfax, VA 22030-1806

Mailing address

2158 Greenkeepers CT
Reston, VA 20191-3841
Phone (703) 298-2104

Other practice location 1

14150 Parkeast Cir Ste 260
Chantilly, VA 20151-2295
Phone (703) 449-6151

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

LicenseStateTypeSpecialty
0904011278VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1437795077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 GREENKEEPERS CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913841",
            "telephone_number": "703-298-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 OLD LEE HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301806",
            "telephone_number": "571-659-1924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14150 Parkeast Cir Ste 260",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201512295",
            "country_code": "US",
            "telephone_number": "703-449-6151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCALISTER",
        "first_name": "ABIGAIL",
        "middle_name": "SEDAGHATFAR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.