Individual provider Active NPI

Wendy Umbarger, LCSW

  • Clinical Social Worker
  • Springfield, VA
National Provider Identifier
1619334869
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009049 Issued in VA
Practice address
8000 Forbes PL Ste 201
Springfield, VA 22151-2203
Phone
(703) 425-9200
NPI assigned
Jan 19, 2016
Last updated
Jan 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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 0904009049 VA Primary

Addresses

Primary practice location

8000 Forbes PL Ste 201
Springfield, VA 22151-2203

Mailing address

8000 Forbes PL Ste 201
Springfield, VA 22151-2203

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

State licenses

LicenseStateTypeSpecialty
0904009049VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Umbarger Counseling Services, LLC Clinical Current Accepting new patients
Adolescent and Family Growth Center, Inc. Clinical Past Accepting new patients

Locations

5411D Backlick Rd
Ste 100
Springfield, VA 22151
Phone (703) 563-1575

2700 Neabsco Common Pl
Ste 101
Woodbridge, VA 22191
Phone (571) 310-1880

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": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1619334869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 FORBES PL STE 201",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221512203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 FORBES PL STE 201",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221512203",
            "telephone_number": "703-425-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMBARGER",
        "first_name": "WENDY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.