Individual provider Active NPI

Charles Brent Laslie, LCSW

  • Clinical Social Worker
  • Manassas, VA
National Provider Identifier
1871694265
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002368 Issued in VA
Practice address
8641 Breeden Ave
Suite 200
Manassas, VA 20110-8431
Phone
(703) 392-6850
Fax
(703) 392-6852
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 0904002368 VA Primary

Addresses

Primary practice location

8641 Breeden Ave
Suite 200
Manassas, VA 20110-8431

Mailing address

2510 Deepford Dr
Woodbridge, VA 22192-1607
Phone (703) 201-6696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20220510002750 DC Practitioner - Clinical Social Worker 0941687024 Reassigns benefits to 1 organization
I20260113001807 VA Practitioner - Clinical Social Worker 0941687024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth University, School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Arlington, VA 22201-5758

14349 Gideon Dr
Woodbridge, VA 22192-4641

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 289-7560

8505 Arlington Blvd
Fairfax, VA 22031-4630

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904002368VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Insight Inc Clinical CurrentSince Mar 1, 2022 Accepting new patients
Inova Health Care Services CurrentSince Jul 17, 2023 Accepting new patients
Inova Health Care Services CurrentSince Jul 17, 2023 Accepting new patients
Braley and Thompson, Inc. Clinical Past Accepting new patients

Locations

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

10640 Page Ave
Ste 220
Fairfax, VA 22030
Phone (703) 310-7665

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

6800 Paragon Pl
Ste 200
Richmond, VA 23230
Phone (757) 768-6914

Organizations & group practices 4

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": "1183939200000",
    "number": "1871694265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 DEEPFORD DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921607",
            "telephone_number": "703-201-6696",
            "fax_number": "703-492-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 BREEDEN AVE",
            "address_2": "SUITE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108431",
            "telephone_number": "703-392-6850",
            "fax_number": "703-392-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASLIE",
        "first_name": "CHARLES",
        "middle_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.