Individual provider Active NPI

Roger Craig Rothman, LCSW

  • Clinical Social Worker
  • Annandale, VA
National Provider Identifier
1477531051
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
301 Issued in VA
Practice address
7330B McWhorter PL
Annandale, VA 22003-5605
Phone
(703) 642-1112
Fax
(703) 642-6082
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 301 VA Primary
Clinical Social Worker 1041C0700X 2833 MD

Addresses

Primary practice location

7330B McWhorter PL
Annandale, VA 22003-5605

Mailing address

7330B McWhorter PL
Annandale, VA 22003-5605
Phone (703) 642-1112

Other identifiers 1

IdentifierTypeStateIssuer
8901392MedicaidVA

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
I20110411000492 DC Practitioner - Clinical Social Worker 5496939746 Practice locations: MC Lean, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1485 Chain Bridge Rd
Suite 203
MC Lean, VA 22101-4511
Phone (703) 642-1112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301VAMDClinical Social Worker
2833MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Recovery PLLC Clinical Past Accepting new patients

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477531051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330B MCWHORTER PL",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035605",
            "telephone_number": "703-642-1112",
            "fax_number": "703-642-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330B MCWHORTER PL",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035605",
            "telephone_number": "703-642-1112",
            "fax_number": "703-642-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "ROGER",
        "middle_name": "CRAIG",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "301",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "2833",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901392",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.