Individual provider Active NPI

Helaina Roisman, LICSW

  • Clinical Social Worker
  • Gainesville, VA
National Provider Identifier
1609435429
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50081545 Issued in DC
Practice address
4241 Berry Rd
Gainesville, VA 20155-1120
Phone
(703) 239-3660
Fax
(703) 995-0332
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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 LC50081545 DC Primary

Addresses

Primary practice location

4241 Berry Rd
Gainesville, VA 20155-1120

Mailing address

4241 Berry Rd
Gainesville, VA 20155-1120
Phone (703) 239-3660

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC50081545DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wade Kern Network, LLC CurrentSince Jul 9, 2025 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": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1609435429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 BERRY RD",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551120",
            "telephone_number": "703-239-3660",
            "fax_number": "703-995-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 BERRY RD",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551120",
            "telephone_number": "703-239-3660",
            "fax_number": "703-995-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROISMAN",
        "first_name": "HELAINA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.