Active NPI
Janice Louise Fristad, LCSW, LGSW, CAE
- Clinical Social Worker
- Leesburg, VA
National Provider Identifier
1679817548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007920
- Practice address
- 2 Cardinal Park Dr SE Ste 104a
Leesburg, VA 20175-4448 - Phone
- (703) 980-9715
- NPI assigned
- Nov 16, 2012
- 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 | 0904007920 | VA | Primary |
Addresses
Primary practice location
2 Cardinal Park Dr SE Ste 104a
Leesburg, VA 20175-4448
Mailing address
1206 Musket CT NE
Leesburg, VA 20176-4805
Phone (703) 474-6202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2 Cardinal Park Dr SE
Suite 104a
Leesburg, VA 20175-4448
Phone (703) 474-6202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychotherapy Associates of Winchester | Clinical | Current | Accepting new patients |
| Roxanne Ostlund LPC PLCC | Past | Accepting new patients |
Locations
125 S Cameron St
Winchester, VA 22601
Phone (540) 722-0750
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Leesburg, VA
- NPI 1487148490
-
- Clinical Social Worker
- Winchester, VA
- NPI 1588656672
-
- Professional Counselor
- Winchester, VA
- NPI 1326592742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1679817548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 MUSKET CT NE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201764805",
"telephone_number": "703-474-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CARDINAL PARK DR SE STE 104A",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201754448",
"telephone_number": "703-980-9715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRISTAD",
"first_name": "JANICE",
"middle_name": "LOUISE",
"credential": "LCSW, LGSW, CAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-16",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.