Individual provider Active NPI

Pilar Natalia Leiva-Diban, LCSW

  • Clinical Social Worker
  • Sterling, VA
National Provider Identifier
1750846804
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010121 Issued in VA
Practice address
46050 Manekin PLZ Ste 110
Sterling, VA 20166-6519
Phone
(571) 665-6723
Fax
(571) 665-6720
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 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 0904010121 VA Primary

Addresses

Primary practice location

46050 Manekin PLZ Ste 110
Sterling, VA 20166-6519

Mailing address

109 N Garfield Rd
Sterling, VA 20164-2605
Phone (702) 420-4129

Other practice location 1

102 Heritage Way NE
Leesburg, VA 20176-4544
Phone (703) 777-0329

Other names 1

  • Pilar Natalia Hendriks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904010121VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1750846804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N GARFIELD RD",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201642605",
            "telephone_number": "702-420-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46050 MANEKIN PLZ STE 110",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666519",
            "telephone_number": "571-665-6723",
            "fax_number": "571-665-6720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Heritage Way NE",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201764544",
            "country_code": "US",
            "telephone_number": "703-777-0329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIVA-DIBAN",
        "first_name": "PILAR",
        "middle_name": "NATALIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PILAR",
            "last_name": "HENDRIKS",
            "middle_name": "NATALIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.