Individual provider Active NPI

Nancy S. Price, LCSW

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1780761072
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
904004891 Issued in VA
Practice address
9675 Main St Ste a
Fairfax, VA 22031-3762
Phone
(703) 748-9556
Fax
(703) 691-3495
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904004891 VA
Clinical Social Worker 1041C0700X 904004891 VA Primary

Addresses

Primary practice location

9675 Main St Ste a
Fairfax, VA 22031-3762

Mailing address

9675 Main St Ste a
Fairfax, VA 22031-3762
Phone (571) 748-9556

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904004891VAMDClinical Social Worker
904004891VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Price LCSW Clinical CurrentSince Sep 6, 2020 Accepting new patients

Locations

9675 Main St
Ste A
Fairfax, VA 22031
Phone (571) 271-8742

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1780761072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 MAIN ST STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313762",
            "telephone_number": "571-748-9556",
            "fax_number": "703-691-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 MAIN ST STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313762",
            "telephone_number": "703-748-9556",
            "fax_number": "703-691-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "NANCY",
        "middle_name": "S.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004891",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "904004891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.