Individual provider Active NPI

Victoria Tripp, LICSW, LCSW, OSW-C

  • Clinical Social Worker
  • Fredericksburg, VA
National Provider Identifier
1558003574
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC200001619 Issued in DC
Practice address
15 Marshall PL
Fredericksburg, VA 22405-2937
Phone
(914) 960-5522
NPI assigned
Apr 11, 2022
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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 LC200001619 DC Primary

Addresses

Primary practice location

15 Marshall PL
Fredericksburg, VA 22405-2937

Mailing address

15 Marshall PL
Fredericksburg, VA 22405-2937
Phone (914) 960-5522

Other practice location 1

282 Choptank Rd Ste 103
Stafford, VA 22556-6481
Phone (540) 602-2545

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
I20220912003003 DC Practitioner - Clinical Social Worker 5991180929 Reassigns benefits to 1 organization
I20231121001811 VA Practitioner - Clinical Social Worker 5991180929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revelations Counseling and Consulting, LLCGroup PAC ID 3971774209, 4 clinicians

Practice addresses (Care Compare)

1380 Central Park Blvd
Suite 204
Fredericksburg, VA 22401-4926
Phone (540) 602-2545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC200001619DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Older Adult Counseling CurrentSince Sep 1, 2022 Accepting new patients

Locations

10615 Judicial Dr
Ste 301
Fairfax, VA 22030
Phone (703) 402-2091

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1558003574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MARSHALL PL",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052937",
            "telephone_number": "914-960-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MARSHALL PL",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052937",
            "telephone_number": "914-960-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 Choptank Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225566481",
            "country_code": "US",
            "telephone_number": "540-602-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "LICSW, LCSW, OSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200001619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.