Individual provider Active NPI

Raisa A Brownell, LCSW

  • Clinical Social Worker
  • Arlington, VA
National Provider Identifier
1467047035
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014514 Issued in VA
Practice address
1005 N Glebe Rd Ste 525
Arlington, VA 22201-5792
Phone
(804) 207-6737
Fax
(571) 303-0708
NPI assigned
Mar 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P014795 NC
Clinical Social Worker 1041C0700X 0904014514 VA Primary

Addresses

Primary practice location

1005 N Glebe Rd Ste 525
Arlington, VA 22201-5792

Mailing address

1005 N Glebe Rd Ste 525
Arlington, VA 22201-5792
Phone (804) 207-6737

Other identifiers 1

IdentifierTypeStateIssuer
30017639560001MedicaidVA

Other names 1

  • Raisa Alisia Mathies Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231101002022 DC Practitioner - Clinical Social Worker 1951757640 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P014795NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Services, LLC PastSince Mar 1, 2021 Accepting new patients
Hope Services, LLC PastSince Mar 1, 2021 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1467047035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N GLEBE RD STE 525",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015792",
            "telephone_number": "804-207-6737",
            "fax_number": "571-303-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N GLEBE RD STE 525",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015792",
            "telephone_number": "804-207-6737",
            "fax_number": "571-303-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNELL",
        "first_name": "RAISA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014795",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017639560001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAISA",
            "last_name": "MATHIES",
            "middle_name": "ALISIA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.