Active NPI
Michelle L Toland, LCSW
- Clinical Social Worker
- Leesburg, VA
National Provider Identifier
1710235627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904012934
- Practice address
- 199 Liberty St SW
Leesburg, VA 20175-2715 - Phone
- (804) 207-6737
- Fax
- (804) 730-2829
- NPI assigned
- Aug 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904012934 | VA | Primary |
| Clinical Social Worker | 1041C0700X | CW024421 | PA |
Addresses
Primary practice location
199 Liberty St SW
Leesburg, VA 20175-2715
Mailing address
199 Liberty St SW
Leesburg, VA 20175-2715
Phone (804) 207-6737
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW024421 | PA | MD | Clinical Social Worker |
| 0904012934 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
Locations
999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1710235627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 LIBERTY ST SW",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201752715",
"telephone_number": "804-207-6737",
"fax_number": "804-730-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 LIBERTY ST SW",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201752715",
"telephone_number": "804-207-6737",
"fax_number": "804-730-2829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLAND",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904012934",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW024421",
"primary": false
}
],
"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 May 9, 2024; 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.