Magaly Cristina Vicente, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011374 Issued in VA

Practice address

2100 Washington Blvd FL 4
Arlington, VA 22204-5717

Phone

(703) 228-1600

NPI assigned

Sep 10, 2017

Last updated

Sep 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Magaly Llanos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1881113934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N VEITCH ST UNIT 1105",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222016207",
            "telephone_number": "301-788-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WASHINGTON BLVD FL 4",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045717",
            "telephone_number": "703-228-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 307",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "MD",
            "postal_code": "211500307",
            "country_code": "US",
            "telephone_number": "301-704-9611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICENTE",
        "first_name": "MAGALY",
        "middle_name": "CRISTINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18460",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGALY",
            "last_name": "LLANOS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Arlington, VA
• Providers in Arlington, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.