Active NPI
Phyllis Joy Charles
- Clinical Social Worker
- Arlington, VA
National Provider Identifier
1477495166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904004317
- Practice address
- 3725 6TH Rd N
Arlington, VA 22203-2204 - Phone
- (571) 213-0851
- NPI assigned
- Apr 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904004317 | VA | Primary |
Addresses
Primary practice location
3725 6TH Rd N
Arlington, VA 22203-2204
Mailing address
3725 6TH Rd N
Arlington, VA 22203-2204
Phone (571) 213-0851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260604004498 | DC | Practitioner - Clinical Social Worker | 5092286567 | Reassigns benefits to 1 organization |
| I20260622003280 | VA | Practitioner - Clinical Social Worker | 5092286567 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Associates in Psychiatry PC
Practice addresses (Care Compare)
24560 Southpoint Dr
Suite 260
Aldie, VA 20105-3505
Phone (571) 248-7493
2501 N Glebe Rd
Suite 303
Arlington, VA 22207-3558
Phone (703) 841-1290
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904004317 | VA | MD | Clinical Social Worker |
Organizations & group practices 1
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": "1775692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1477495166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 6TH RD N",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222032204",
"telephone_number": "571-213-0851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 6TH RD N",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222032204",
"telephone_number": "571-213-0851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "PHYLLIS",
"middle_name": "JOY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904004317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.