Susana Williams Calley, LCSW

Key facts

NPI

1831609205

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

0904009529 (VA)

Practice address

200 E Washington St
Middleburg, VA 20118

Phone

(540) 324-9046

NPI assigned

Oct 11, 2017

Sex

Female

Sole proprietor

Yes

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 11, 2017.

{
    "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": []
}

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