Individual provider Active NPI

Caroline Joyce Csongos, LCSW

  • Clinical Social Worker
  • Gainesville, VA
National Provider Identifier
1831290329
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004862 Issued in VA
Practice address
13575 Heathcote Blvd Ste 201
Gainesville, VA 20155-6660
Phone
(703) 289-7560
Fax
(703) 289-8710
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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 0904004862 VA Primary

Addresses

Primary practice location

13575 Heathcote Blvd Ste 201
Gainesville, VA 20155-6660

Mailing address

13575 Heathcote Blvd Ste 201
Gainesville, VA 20155-6660
Phone (703) 289-7560

Other identifiers 1

IdentifierTypeStateIssuer
0904004862OtherVACLINICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190821002383 VA Practitioner - Clinical Social Worker 0840528303 Reassigns benefits to 2 organizations
I20200127000684 DC Practitioner - Clinical Social Worker 0840528303 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jun 17, 2019 Accepting new patients
Inova Health Care Services CurrentSince Dec 16, 2019 Accepting new patients
Inova Health Care Services CurrentSince Dec 16, 2019 Accepting new patients

Locations

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

13575 Heathcote Blvd
Ste 210
Gainesville, VA 20155
Phone (571) 248-4620

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1831290329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 HEATHCOTE BLVD STE 201",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201556660",
            "telephone_number": "703-289-7560",
            "fax_number": "703-289-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 HEATHCOTE BLVD STE 201",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201556660",
            "telephone_number": "703-289-7560",
            "fax_number": "703-289-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CSONGOS",
        "first_name": "CAROLINE",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LICENSE",
            "identifier": "0904004862",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.