Active NPI
Charles Brent Laslie, LCSW
- Clinical Social Worker
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904002368
- 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
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 | 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904002368 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Insight Inc | Clinical | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | 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.
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Clinical Social Worker
- Manassas, VA
- NPI 1326148503
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.