Grace Keiko Nozaki, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006574 Issued in VA

Practice address

1850 Cameron Glen Dr Ste 600
Reston, VA 20190-3343

Phone

(703) 481-4153

Fax

(703) 435-1961

NPI assigned

Jul 26, 2011

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 identifiers 1

Other names 1

• Ms. Grace T Nozaki Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1447538442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 CLARA BARTON DR",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391406",
            "telephone_number": "703-593-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CAMERON GLEN DR STE 600",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903343",
            "telephone_number": "703-481-4153",
            "fax_number": "703-435-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOZAKI",
        "first_name": "GRACE",
        "middle_name": "KEIKO",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945107",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "NOZAKI",
            "middle_name": "T",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nova Primary Care LLC
• Nova Psychiatrist, LLC
• Arthur Jason Novick, D.D.S.
• Kendra E. Novick, D.D.S.
• Molly Nowell
• Lois Ntiamoah, NURSE PRACTITIONER
• Nora Emilia Nunez
• Lamya Nur, LPC, NCC
• Lavanya Nutankalva, MD
• Chituo Nwoga

• Clinical Social Worker in Reston, VA
• Providers in Reston, 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 Sep 4, 2012; 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.