Querida Taina Lugo

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2920 District Ave Apt 512
Fairfax, VA 22031-4471

Phone

(703) 470-9397

NPI assigned

Dec 6, 2021

Last updated

Dec 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1548928773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 BELLE VIEW BLVD # 5044",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223076531",
            "telephone_number": "703-470-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 DISTRICT AVE APT 512",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314471",
            "telephone_number": "703-470-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "QUERIDA",
        "middle_name": "TAINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CentralReach",
            "affiliation": "Y",
            "endpointDescription": "Provider Database System",
            "affiliationName": "BreakThru Autism Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9720 Capital Ct Ste 404",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201102052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sophia Lucian
• Diana Lucio
• Savannah Rose Ludolph
• Meryl Rutkowski Ludwig, MD
• Molly Ludwig
• Yelani Lugo
• Patrisha Lultschik, FNP-C
• Shrylock Heath Lumbao
• Lumiere Dental PLLC
• Kirsten Marie Lundeberg, LPC, LMFT

• Social Worker in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.