Individual provider Active NPI

Erin F Azar, LCSW, CSOTP

  • Clinical Social Worker
  • Arlington, VA
National Provider Identifier
1780001396
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008190 Issued in VA
Practice address
2100 Washington Blvd
4TH Floor
Arlington, VA 22204-5703
Phone
(703) 228-1600
Fax
(703) 228-1117
NPI assigned
Mar 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0812000605 VA
Clinical Social Worker 1041C0700X 0904008190 VA Primary

Addresses

Primary practice location

2100 Washington Blvd
4TH Floor
Arlington, VA 22204-5703

Mailing address

2100 Washington Blvd
4TH Floor
Arlington, VA 22204-5703
Phone (703) 228-1600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140613001301 DC Practitioner - Clinical Social Worker 0547484560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2100 Washington Blvd
Arlington, VA 22204-5717
Phone (703) 228-1611

2100 Washington Blvd
Suite 400
Arlington, VA 22204-5703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0812000605VAMDProfessional Counselor
0904008190VAMDClinical Social Worker

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1780001396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WASHINGTON BLVD",
            "address_2": "4TH FLOOR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045703",
            "telephone_number": "703-228-1600",
            "fax_number": "703-228-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WASHINGTON BLVD",
            "address_2": "4TH FLOOR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045703",
            "telephone_number": "703-228-1600",
            "fax_number": "703-228-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAR",
        "first_name": "ERIN",
        "middle_name": "F",
        "credential": "LCSW, CSOTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0812000605",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.