Individual provider Active NPI

Elizabeth Delores Dungee-Anderson, PHD; LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1689775009
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000543 Issued in VA
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

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008916209MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130828000678 VA Practitioner - Clinical Social Worker 4486821550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0904000543VAMDClinical 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

Verify at the official NPI Registry.