Individual provider Active NPI

Paige Nicole Reitz, LCSW

  • Clinical Social Worker
  • Manassas, VA
National Provider Identifier
1780228775
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011177 Issued in VA
Practice address
9301 Forest Point Cir
Manassas, VA 20110-4700
Phone
(703) 268-2656
Fax
(703) 552-1316
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 0904011177 VA Primary

Addresses

Primary practice location

9301 Forest Point Cir
Manassas, VA 20110-4700

Mailing address

9301 Forest Point Cir
Manassas, VA 20110-4700
Phone (703) 268-2656

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paige.reitz@ncgcommunity.com

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
I20230111003179 DC Practitioner - Clinical Social Worker 5092185827 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904011177VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax County, Virginia CurrentSince Dec 5, 2022 Accepting new patients

Locations

14150 Parkeast Cir
Ste 200
Fairfax, VA 20151
Phone (703) 449-6114

12011 Government Center Pkwy
Ste 836
Fairfax, VA 22035
Phone (703) 324-7017

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031
Phone (703) 289-7599

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": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1780228775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 FOREST POINT CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104700",
            "telephone_number": "703-268-2656",
            "fax_number": "703-552-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 FOREST POINT CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104700",
            "telephone_number": "703-268-2656",
            "fax_number": "703-552-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITZ",
        "first_name": "PAIGE",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paige.reitz@ncgcommunity.com",
            "affiliation": "N",
            "address_1": "9301 Forest Point Cir",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201104700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.