Individual provider Active NPI

Joanne Hartle

  • School Social Worker
  • Fairfax, VA
National Provider Identifier
1619665213
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
PPS0608050 Issued in VA
Practice address
10427 North St Ste 201
Fairfax, VA 22030-2592
Phone
(571) 383-2540
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904017230 VA
School Social Worker 1041S0200X PPS0608050 VA Primary

Addresses

Primary practice location

10427 North St Ste 201
Fairfax, VA 22030-2592

Mailing address

3921 Blenheim Blvd
Fairfax, VA 22030-2429
Phone (571) 268-2226

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
0904017230VAMDClinical Social Worker
PPS0608050VAMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1619665213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 BLENHEIM BLVD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302429",
            "telephone_number": "571-268-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10427 NORTH ST STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302592",
            "telephone_number": "571-383-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLE",
        "first_name": "JOANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017230",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "VA",
            "license": "PPS0608050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.