Active NPI
Dorcas Worley Lushetsky, LCSW
- Clinical Social Worker
- MC Lean, VA
National Provider Identifier
1750492344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904006934
- Practice address
- 1485 Chain Bridge Rd
Suite 203
MC Lean, VA 22101-4501 - Phone
- (703) 307-8359
- NPI assigned
- Aug 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904006934 | VA | Primary |
| Clinical Social Worker | 1041C0700X | R059657-1 | NY |
Addresses
Primary practice location
1485 Chain Bridge Rd
Suite 203
MC Lean, VA 22101-4501
Mailing address
6706 Haycock Rd
Falls Church, VA 22043-1730
Phone (703) 307-8359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R059657-1 | NY | MD | Clinical Social Worker |
| 0904006934 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways, Inc. | Past | Accepting new patients | |
| Erwin Psychiatric NP PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Corning, NY
- NPI 1639939069
-
- Social Worker
- Corning, NY
- NPI 1396896486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259712000000",
"number": "1750492344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6706 HAYCOCK RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220431730",
"telephone_number": "703-307-8359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 CHAIN BRIDGE RD",
"address_2": "SUITE 203",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221014501",
"telephone_number": "703-307-8359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSHETSKY",
"first_name": "DORCAS",
"middle_name": "WORLEY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2009-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904006934",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R059657-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.