Individual provider Active NPI

Phyllis Joy Charles

  • Clinical Social Worker
  • Arlington, VA
National Provider Identifier
1477495166
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004317 Issued in VA
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

Updated by the provider on Apr 9, 2026

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 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, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 127 clinicians

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

LicenseStateTypeSpecialty
0904004317VAMDClinical 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

Verify at the official NPI Registry.