Active NPI
Elizabeth Delores Dungee-Anderson, PHD; LCSW
- Clinical Social Worker
- North Chesterfield, VA
National Provider Identifier
1689775009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904000543
- Practice address
- 1901 Huguenot Rd
Suite 303
North Chesterfield, VA 23235-4311 - Phone
- (804) 840-1149
- Fax
- (804) 562-4550
- NPI assigned
- Sep 26, 2006
- 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 | 0904000543 | VA | Primary |
Addresses
Primary practice location
1901 Huguenot Rd
Suite 303
North Chesterfield, VA 23235-4311
Mailing address
1901 Huguenot Rd Ste 303
North Chesterfield, VA 23235-4311
Phone (804) 794-6247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008916209 | Medicaid | VA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130828000678 | VA | Practitioner - Clinical Social Worker | 4486821550 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904000543 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1689775009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 HUGUENOT RD STE 303",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354311",
"telephone_number": "804-794-6247",
"fax_number": "804-794-6247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 HUGUENOT RD",
"address_2": "SUITE 303",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354311",
"telephone_number": "804-840-1149",
"fax_number": "804-562-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNGEE-ANDERSON",
"first_name": "ELIZABETH",
"middle_name": "DELORES",
"name_prefix": "Dr.",
"credential": "PHD; LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904000543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008916209",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.