Individual provider Active NPI

Olivia A. Faries, LCSW

  • Clinical Social Worker
  • Falls Church, VA
National Provider Identifier
1811921505
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003752 Issued in VA
Practice address
6400 Arlington Blvd
Suite 110
Falls Church, VA 22042-2325
Phone
(703) 385-7600
Fax
(703) 385-7676
NPI assigned
Jul 10, 2006
Last updated
Oct 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 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 0904003752 VA Primary

Addresses

Primary practice location

6400 Arlington Blvd
Suite 110
Falls Church, VA 22042-2325

Mailing address

6718 Patterson Ave
Richmond, VA 23226-3419
Phone (804) 282-5644

Other identifiers 1

IdentifierTypeStateIssuer
010203783MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180313002393 VA Practitioner - Clinical Social Worker 5496994030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1971
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Jewish Family Services, Inc.Group PAC ID 1850296039, 14 clinicians

Practice addresses (Care Compare)

6718 Patterson Ave
Richmond, VA 23226-3419
Phone 8042825644270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Services Inc CurrentSince Dec 26, 2017 Accepting new patients
Jewish Family Services, Inc Clinical CurrentSince Dec 26, 2017 Accepting new patients
Northern Virginia Family Service Past Accepting new patients

Locations

6718 Patterson Ave
Richmond, VA 23226
Phone (804) 282-5644

Interoperability endpoints

  • Direct secure messaging: olivia.faries.1@30451.direct.athenahealth.com

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, 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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1811921505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263419",
            "telephone_number": "804-282-5644",
            "fax_number": "804-673-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 ARLINGTON BLVD",
            "address_2": "SUITE 110",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422325",
            "telephone_number": "703-385-7600",
            "fax_number": "703-385-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIES",
        "first_name": "OLIVIA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010203783",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.