Individual provider Active NPI

Paul Scardino, LCSW

  • Clinical Social Worker
  • Winchester, VA
National Provider Identifier
1629353354
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007039 Issued in VA
Practice address
600 Pegasus CT Ste 100
Winchester, VA 22602-5509
Phone
(540) 450-2734
Fax
(540) 450-2735
NPI assigned
Oct 13, 2011
Last updated
Oct 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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 0904007039 VA Primary

Addresses

Primary practice location

600 Pegasus CT Ste 100
Winchester, VA 22602-5509

Mailing address

8385 Buttress LN Apt 102
Manassas, VA 20110-7081
Phone (703) 398-6592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
National Counseling Group, Inc CurrentSince Dec 9, 2017 Accepting new patients

Locations

5014 Monument Ave
Richmond, VA 23230
Phone (804) 497-4676

3922 Electric Rd
Ste 200
Roanoke, VA 24018
Phone (540) 776-0716

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, 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": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1629353354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8385 BUTTRESS LN APT 102",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201107081",
            "telephone_number": "703-398-6592",
            "fax_number": "540-450-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PEGASUS CT STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226025509",
            "telephone_number": "540-450-2734",
            "fax_number": "540-450-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARDINO",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.