Diane Lynn Brace, M.S.W., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001929 Issued in VA

Practice address

14150 Parkeast Cir
Suite 200
Chantilly, VA 20151-2295

Phone

(703) 968-4036

Fax

(703) 263-1724

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770594442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 BRADDOCK RIDGE DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203313",
            "telephone_number": "703-830-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 PARKEAST CIR",
            "address_2": "SUITE 200",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512295",
            "telephone_number": "703-968-4036",
            "fax_number": "703-263-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACE",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasper M Boomer, LSATP
• Cherri Boothe, LPC
• Kevin Boss, LAT, ATC
• Hakima Bouhouch, MD
• Claire Bowers, LCSW
• Avery Brand Jakum
• Lauren A. Branly, DPT
• Elizabeth Ann Bray-Mallin
• John William Breau Jr., R.N.
• Bright Light Consulting, LLC

• Clinical Social Worker in Chantilly, VA
• Providers in Chantilly, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.