Individual provider Active NPI

Colleen Turner

  • Clinical Social Worker
  • Oakton, VA
National Provider Identifier
1790215739
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006613 Issued in VA
Practice address
11690 Deerfield Dr
Oakton, VA 22124-1238
Phone
(703) 400-6907
NPI assigned
Jun 13, 2017
Last updated
Jun 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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 0904006613 VA Primary

Addresses

Primary practice location

11690 Deerfield Dr
Oakton, VA 22124-1238

Mailing address

11690 Deerfield Dr
Oakton, VA 22124-1238
Phone (703) 400-6907

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
I20170717000746 DC Practitioner - Clinical Social Worker 2062782568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northern Virginia Older Adult CounselingGroup PAC ID 5294039608, 21 clinicians

Practice addresses (Care Compare)

4700 Banting CT
Fairfax, VA 22032-2451
Phone (703) 667-0752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904006613VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Older Adult Counseling CurrentSince Jun 7, 2017 Accepting new patients

Locations

10615 Judicial Dr
Ste 301
Fairfax, VA 22030
Phone (703) 424-0410

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1790215739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11690 DEERFIELD DR",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241238",
            "telephone_number": "703-400-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11690 DEERFIELD DR",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241238",
            "telephone_number": "703-400-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "COLLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakton, VA

Sources for this page

Verify at the official NPI Registry.