Virginia Yvonne Kellogg, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

03539 Issued in MD

Practice address

525 Eastern Avenue
Suite B-3
Capitol Heights, MD 20743-1677

Phone

(301) 925-2255

Fax

(301) 925-2020

NPI assigned

Oct 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Interdynamics, Inc.

  • Community/Behavioral Health Agency
  • Landover, MD
  • NPI 1770135261
  NPD (past)

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1679040307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 EASTERN AVENUE",
            "address_2": "SUITE B-3",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207431677",
            "telephone_number": "301-925-2255",
            "fax_number": "301-925-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 EASTERN AVENUE",
            "address_2": "SUITE B-3",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207431677",
            "telephone_number": "301-925-2255",
            "fax_number": "301-925-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "VIRGINIA",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "03539",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonia Marilu Joseph-Armstrong, COTA/L
• Jus Faith Transportation LLC
• Isata Kallon, PA
• Kadiatu Kargbo
• Kaymon Physical Therapy and Associates
• Brandon Kerr, LCSW-C
• Taje Darnell Kirksey
• Jihan Aliza Knight
• Know Your Own Worth
• Florence Koker

• Social Worker in Capitol Heights, MD
• Providers in Capitol Heights, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.