Individual provider Active NPI

Susana Williams Calley, LCSW

  • Clinical Social Worker
  • Middleburg, VA
National Provider Identifier
1831609205
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009529 Issued in VA
Practice address
200 E Washington St
Middleburg, VA 20118
Phone
(540) 324-9046
NPI assigned
Oct 11, 2017
Last updated
Oct 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 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 0904009529 VA Primary

Addresses

Primary practice location

200 E Washington St
Middleburg, VA 20118

Mailing address

23558 Parsons Rd
Middleburg, VA 20117-2818
Phone (703) 297-7899

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
I20180404000715 VA Practitioner - Clinical Social Worker 5294098299 Practice locations: Middleburg, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 E Washington St
Middleburg, VA 20117-2602
Phone (540) 324-9046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904009529VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1831609205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23558 PARSONS RD",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "201172818",
            "telephone_number": "703-297-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WASHINGTON ST",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "20118",
            "telephone_number": "540-324-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLEY",
        "first_name": "SUSANA",
        "middle_name": "WILLIAMS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, VA

Sources for this page

Verify at the official NPI Registry.