Individual provider Active NPI

Julia Margaret Richardson, LICSW

  • Clinical Social Worker
  • Sterling, VA
National Provider Identifier
1669818001
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008513 Issued in VA
Practice address
46050 Manekin PLZ Ste 110
Sterling, VA 20166-6519
Phone
(703) 218-8500
Fax
(703) 359-0463
NPI assigned
May 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50079994 DC
Clinical Social Worker 1041C0700X 17688 MD
Clinical Social Worker 1041C0700X 0904008513 VA Primary

Addresses

Primary practice location

46050 Manekin PLZ Ste 110
Sterling, VA 20166-6519

Mailing address

46050 Manekin PLZ Ste 110
Sterling, VA 20166-6519
Phone (571) 926-2212

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50079994DCMDClinical Social Worker
17688MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services PastSince Nov 21, 2021 Accepting new patients
Capitol Region Children's Center Past Accepting new patients
Inova Kellar Center PastSince Nov 21, 2021 Accepting new patients
Woodbridge Therapy Group LLC Clinical PastSince May 21, 2014 Accepting new patients

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, 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": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1669818001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46050 MANEKIN PLZ STE 110",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666519",
            "telephone_number": "571-926-2212",
            "fax_number": "703-359-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46050 MANEKIN PLZ STE 110",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666519",
            "telephone_number": "703-218-8500",
            "fax_number": "703-359-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JULIA",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079994",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17688",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.