Individual provider Active NPI

Rebecca Fae Greene, LCSW

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1629925649
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904020063 Issued in VA
Practice address
10605 Judicial Dr Ste B4
Fairfax, VA 22030-5167
Phone
(703) 493-0467
NPI assigned
Mar 11, 2026
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 0904020063 VA Primary

Addresses

Primary practice location

10605 Judicial Dr Ste B4
Fairfax, VA 22030-5167

Mailing address

10605 Judicial Dr Ste B4
Fairfax, VA 22030-5167
Phone (703) 493-0467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260330000090 VA Practitioner - Clinical Social Worker 0446735336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Oak Counseling LLCGroup PAC ID 4981945870, 14 clinicians

Practice addresses (Care Compare)

312 E Market St
Suite F
Leesburg, VA 20176-4173
Phone (703) 493-0467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904020063VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Two Rivers Counseling LLC CurrentSince Mar 17, 2026 Accepting new patients
Virginia Oak Counseling, LLC Clinical CurrentSince Mar 17, 2026 Accepting new patients

Locations

312 E Market St
Ste F
Leesburg, VA 20176
Phone (304) 725-7176

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": "1773187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1629925649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 JUDICIAL DR STE B4",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305167",
            "telephone_number": "703-493-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 JUDICIAL DR STE B4",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305167",
            "telephone_number": "703-493-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "REBECCA",
        "middle_name": "FAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904020063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.