Individual provider Active NPI

Marilyn Stickle, LCSW

  • Specialist
  • Arlington, VA
National Provider Identifier
1780730408
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0904000229 Issued in VA
Practice address
5319 Lee Hwy
Arlington, VA 22207-1607
Phone
(703) 533-1038
Fax
(703) 790-0232
NPI assigned
Jan 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0904000229 VA Primary

Addresses

Primary practice location

5319 Lee Hwy
Arlington, VA 22207-1607

Mailing address

5319 Lee Hwy
Arlington, VA 22207-1607
Phone (703) 533-1038

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.
Opted out of Medicare
Yes, effective Jul 1, 2014 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904000229VAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780730408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 LEE HWY",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222071607",
            "telephone_number": "703-533-1038",
            "fax_number": "703-790-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 LEE HWY",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222071607",
            "telephone_number": "703-533-1038",
            "fax_number": "703-790-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKLE",
        "first_name": "MARILYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0904000229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.