Amy Nguyen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904014067 Issued in VA

Practice address

6000 Havener House Way
Centreville, VA 20120-3224

Phone

(703) 405-4773

NPI assigned

Aug 22, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arlington County Government Department of Managment & Finance

  • Community/Behavioral Health Agency
  • Arlington, VA
  • NPI 1043280415

  DC

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1730807157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 HAVENER HOUSE WAY",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203224",
            "telephone_number": "703-405-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 HAVENER HOUSE WAY",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203224",
            "telephone_number": "703-405-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Lane Neil
• New Life Acupuncture Inc.
• Ira Clifford Newman, M.D.
• Carlen NG, RPH
• Gabrielle Han Quynh Nang Nghiem, PT
• Doantrang T Nguyen, DDS
• Jennifer Caspers Nguyen, DDS
• Katelyn Nguyen, PHARMD
• Linhlan Cao Nguyen, PHARMD
• Sandor Shawn Niemann, MD

• Clinical Social Worker in Centreville, VA
• Providers in Centreville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.