Active NPI
Michael D Schell-Smith, LCSW
- Clinical Social Worker
- Fredericksburg, VA
National Provider Identifier
1720165129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904001812
- Practice address
- 601 Jefferson Davis Hwy Ste 101
Fredericksburg, VA 22401-4564 - Phone
- (703) 490-0336
- Fax
- (703) 490-0336
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- 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 | 0904001812 | VA | Primary |
Addresses
Primary practice location
601 Jefferson Davis Hwy Ste 101
Fredericksburg, VA 22401-4564
Mailing address
7969 Ashton Ave
Manassas, VA 20109-2885
Phone (703) 792-7800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4945247 | Medicaid | VA | |
| 292895 | Other | VA | AMERIGROUP |
| 210307 | Other | VA | BLUE CROSS BLUE SHIELD |
| 5460015431 | Other | VA | EIN |
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, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13885 Hedgewood Dr
Woodbridge, VA 22193-7931
Phone (703) 490-0336
601 Emancipation Hwy
Suite 101
Fredericksburg, VA 22401-4564
Phone (703) 490-0336
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological and Life Skills Associates, P.C. | Current | Accepting new patients | |
| Prince William County | Past | Accepting new patients | |
| Prince William County Community Services Board | Past | Accepting new patients | |
| Psychological and Life Skills Association | Clinical | Past | Accepting new patients |
Locations
13885 Hedgewood Dr
Ste 245
Woodbridge, VA 22193
Phone (703) 490-0336
Organizations & group practices 4
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.
-
- Psychologist
- Woodbridge, VA
- NPI 1619066727
-
- Ambulance
- Prince William, VA
- NPI 1235437385
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manassas, VA
- NPI 1053402800
-
- Clinical Social Worker
- Fredericksburg, VA
- NPI 1992164834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1720165129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7969 ASHTON AVE",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201092885",
"telephone_number": "703-792-7800",
"fax_number": "703-792-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 JEFFERSON DAVIS HWY STE 101",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014564",
"telephone_number": "703-490-0336",
"fax_number": "703-490-0336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHELL-SMITH",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904001812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4945247",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "292895",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "210307",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EIN",
"identifier": "5460015431",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.