Individual provider Active NPI

Windsor Eaton Coggeshall, LCSW

  • Clinical Social Worker
  • Woodbridge, VA
National Provider Identifier
1811249436
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008038 Issued in VA
Practice address
15941 Donald Curtis Dr
Suite 200
Woodbridge, VA 22191-4256
Phone
(703) 792-7800
Fax
(703) 792-5699
NPI assigned
Oct 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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 0904008038 VA Primary

Addresses

Primary practice location

15941 Donald Curtis Dr
Suite 200
Woodbridge, VA 22191-4256

Mailing address

15941 Donald Curtis Dr
Suite 200
Woodbridge, VA 22191-4256
Phone (703) 792-7800

Other identifiers 1

IdentifierTypeStateIssuer
004945247MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20260310001823 MT Practitioner - Clinical Social Worker 7315420247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tamarack Grief Resource Center IncGroup PAC ID 0648781765, 2 clinicians

Practice addresses (Care Compare)

405 S 1St St W
Missoula, MT 59801-1850
Phone (406) 541-8472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008038VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tamarack Grief Resource Center Inc CurrentSince Feb 20, 2026 Accepting new patients
Prince William County Past Accepting new patients
Prince William County Community Services Board PastSince Oct 1, 2001 Accepting new patients

Locations

405 S 1st St W
Missoula, MT 59801
Phone (406) 541-8472

Organizations & group practices 3

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": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1811249436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15941 DONALD CURTIS DR",
            "address_2": "SUITE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914256",
            "telephone_number": "703-792-7800",
            "fax_number": "703-792-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15941 DONALD CURTIS DR",
            "address_2": "SUITE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914256",
            "telephone_number": "703-792-7800",
            "fax_number": "703-792-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGGESHALL",
        "first_name": "WINDSOR",
        "middle_name": "EATON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945247",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.