Rebecca Ellison, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904017659 Issued in VA

Practice address

200 Lawyers Road NW
PO Box 73
Vienna, VA 22183

Phone

(571) 460-4767

NPI assigned

Jan 17, 2025

Last updated

Jan 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Total Health Concepts, LLC

  • Clinical Social Worker
  • Vienna, VA
  • NPI 1316143712
  NPD (past)

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1649081688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 TWIN MILL LN",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241020",
            "telephone_number": "571-460-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LAWYERS ROAD NW",
            "address_2": "PO BOX 73",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22183",
            "telephone_number": "571-460-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elle Dental PC (Tysons corner dentists)
• Gary Ellenbogen, D.D.S.
• Rebecca Elliott
• Kathryn Krueger Ellis, N.P.
• Mary Anne Ellis, JD,PSYD
• Kristopher Ellsworth
• Dania Elmardi
• Aya Adel Eltahir, LCSW
• Phaedra M Eltawila Almajid
• Marcus Oliver Emad, DDS

• Clinical Social Worker in Vienna, VA
• Providers in Vienna, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.