Active NPI
Judith Helene Ratliff, LCSW MSW
- Clinical Social Worker
- Fairfax, VA
National Provider Identifier
1811095367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904001428
- Practice address
- 3700 Joseph Siewick Drive
Suite 402
Fairfax, VA 22033 - Phone
- (703) 758-1660
- Fax
- (703) 758-1660
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904001428 | VA | Primary |
Addresses
Primary practice location
3700 Joseph Siewick Drive
Suite 402
Fairfax, VA 22033
Mailing address
2155 Golf Course Drive
Reston, VA 20191-3834
Phone (703) 758-1660
Other names 1
- Miss Judith Helene Fine
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904001428 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811095367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2155 GOLF COURSE DRIVE",
"city": "RESTON",
"state": "VA",
"postal_code": "201913834",
"telephone_number": "703-758-1660",
"fax_number": "703-716-5410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 JOSEPH SIEWICK DRIVE",
"address_2": "SUITE 402",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22033",
"telephone_number": "703-758-1660",
"fax_number": "703-758-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATLIFF",
"first_name": "JUDITH",
"middle_name": "HELENE",
"name_prefix": "Ms.",
"credential": "LCSW MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904001428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "FINE",
"middle_name": "HELENE",
"prefix": "MISS",
"credential": "MSW LCSWC",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.