Active NPI
Staci M Bostic, LCSW
- Clinical Social Worker
- Ashburn, VA
National Provider Identifier
1477645828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904004116
- Practice address
- 44075 Pipeline PLZ Ste 220
Ashburn, VA 20147-5890 - Phone
- (703) 283-9083
- Fax
- (703) 738-7258
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 0904004116 | VA | Primary |
Addresses
Primary practice location
44075 Pipeline PLZ Ste 220
Ashburn, VA 20147-5890
Mailing address
44075 Pipeline PLZ Ste 220
Ashburn, VA 20147-5890
Phone (703) 283-9083
Other practice location 1
21785 Filigree Ct
Ashburn, VA 20147-6213
Phone (703) 724-0335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 293885 | Other | VA | AMERIGROUP |
| 114608 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Loudoun, Virginia | 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.
-
dba Loudoun County Health Department
- State or Local Public Health Clinic/Center
- Leesburg, VA
- NPI 1588353569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1477645828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44075 PIPELINE PLZ STE 220",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475890",
"telephone_number": "703-283-9083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44075 PIPELINE PLZ STE 220",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475890",
"telephone_number": "703-283-9083",
"fax_number": "703-738-7258"
}
],
"practiceLocations": [
{
"address_1": "21785 Filigree Ct",
"address_purpose": "LOCATION",
"city": "Ashburn",
"state": "VA",
"postal_code": "201476213",
"country_code": "US",
"telephone_number": "703-724-0335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSTIC",
"first_name": "STACI",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904004116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "293885",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "114608",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.