Active NPI
Kathy Sue Trombly
- Clinical Social Worker
- Woodbridge, VA
National Provider Identifier
1679146765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904006937
- Practice address
- 4899 Prince William Pkwy
Woodbridge, VA 22192-5434 - Phone
- (833) 510-4357
- Fax
- (866) 459-6532
- NPI assigned
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904006937 | VA | Primary |
Addresses
Primary practice location
4899 Prince William Pkwy
Woodbridge, VA 22192-5434
Mailing address
615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (833) 510-4357
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904006937 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1679146765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ELSINORE PL STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021457",
"telephone_number": "833-510-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4899 PRINCE WILLIAM PKWY",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221925434",
"telephone_number": "833-510-4357",
"fax_number": "866-459-6532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMBLY",
"first_name": "KATHY",
"middle_name": "SUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904006937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
- Triple E Home Healthcare LLC
- Triple E Home Healthcare LLC
- Tripplewin Transportation and Delivery Service LLC
- Karen Lee Trivett, LPC
- Renee J Trombley, DPT
- True Life Group LLC (Always Best Care Senior Services)
- True Solution Home Health Care LLC
- Truecare Services, LLC
- Trust Orthodent PLLC (Signature Orthodontics and Pediatric Dentistry)
- Trust Well Home Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.