Individual provider Active NPI

Elliott Schwartz, LCSW

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1669588109
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004576 Issued in VA
Practice address
3018 Javier Rd
Fairfax, VA 22031-4609
Phone
(703) 204-9100
Fax
(703) 204-9590
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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 0904004576 VA Primary

Addresses

Primary practice location

3018 Javier Rd
Fairfax, VA 22031-4609

Mailing address

5630 Rapid Run CT
Burke, VA 22015-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20041008000589 DC Practitioner - Clinical Social Worker 9931168549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Social Service AgencyGroup PAC ID 8123920097, 22 clinicians

Practice addresses (Care Compare)

3025 Hamaker CT
Suite 450
Fairfax, VA 22031-2237
Phone (703) 204-9100

4041 University Dr
Suite 200F
Fairfax, VA 22030-3410
Phone (240) 756-7869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904004576VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Solutions Ejs Clinical CurrentSince Dec 15, 2025 Accepting new patients
Jewish Social Service Agency Clinical CurrentSince Jul 28, 2008 Accepting new patients
Jewish Social Service Agency Clinical CurrentSince Jul 28, 2008 Accepting new patients
Fairfax County, Virginia PastSince Nov 1, 1997 Accepting new patients

Locations

6123 Montrose Rd
Rockville, MD 20852
Phone (301) 838-4200

200 Wood Hill Rd
Rockville, MD 20850
Phone (240) 800-5772

3025 Hamaker Ct
Ste 450
Fairfax, VA 22031
Phone (240) 800-5772

3018 Javier Rd
Fairfax, VA 22031
Phone (703) 204-1900

4041 University Dr
Ste 200F
Fairfax, VA 22030
Phone (240) 756-7869

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1669588109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 RAPID RUN CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 JAVIER RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314609",
            "telephone_number": "703-204-9100",
            "fax_number": "703-204-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "ELLIOTT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.