Active NPI
David Christopher Rothman
- Clinical Social Worker
- Arlington, VA
National Provider Identifier
1831705474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904012360
- Practice address
- 1655 Fort Myer Dr FL 7
Arlington, VA 22209-3199 - Phone
- (703) 495-3250
- NPI assigned
- Sep 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904012360 | VA | Primary |
Addresses
Primary practice location
1655 Fort Myer Dr FL 7
Arlington, VA 22209-3199
Mailing address
1655 Fort Myer Dr FL 7
Arlington, VA 22209-3199
Phone (703) 495-3250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0904012360 | Other | VA | VIRGINIA BOARD OF SOCIAL WORK |
| LC200002712 | Other | DC | DC BOARD OF SOCIAL WORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2100 Washington Blvd
FL 4
Arlington, VA 22204-5717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904012360 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1831705474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 FORT MYER DR FL 7",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222093199",
"telephone_number": "703-495-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 FORT MYER DR FL 7",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222093199",
"telephone_number": "703-495-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHMAN",
"first_name": "DAVID",
"middle_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-18",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904012360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA BOARD OF SOCIAL WORK",
"identifier": "0904012360",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC BOARD OF SOCIAL WORK",
"identifier": "LC200002712",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.