Individual provider Active NPI

Cara Donnelly-Justus, LCSW, LCSW-C

  • Clinical Social Worker
  • Vienna, VA
National Provider Identifier
1497337547
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27224 Issued in MD
Practice address
8206 Leesburg Pike Ste 302
Vienna, VA 22182-2614
Phone
(703) 594-1535
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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 27224 MD Primary

Addresses

Primary practice location

8206 Leesburg Pike Ste 302
Vienna, VA 22182-2614

Mailing address

12503 Sandra Lee CT
Monrovia, MD 21770-9032
Phone (301) 789-7634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 3, 2024 through Jul 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27224MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Foundations, LLC PastSince May 1, 2021 Accepting new patients
HFG Holdings, LLC PastSince May 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1497337547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12503 SANDRA LEE CT",
            "city": "MONROVIA",
            "state": "MD",
            "postal_code": "217709032",
            "telephone_number": "301-789-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE STE 302",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822614",
            "telephone_number": "703-594-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY-JUSTUS",
        "first_name": "CARA",
        "credential": "LCSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.