Individual provider Active NPI

Anna Abigail Heath, LICSW, LCSW, LCSW-C

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1912602525
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC200002772 Issued in DC
Practice address
12616 Fair Crest CT
Fairfax, VA 22033-3887
Phone
(904) 445-7159
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW009456 GA
Clinical Social Worker 1041C0700X 0904017695 VA
Clinical Social Worker 1041C0700X 27456 MD
Clinical Social Worker 1041C0700X LC200002772 DC Primary

Addresses

Primary practice location

12616 Fair Crest CT
Fairfax, VA 22033-3887

Mailing address

1018 Monroe St NE
Washington, DC 20017-1760
Phone (202) 977-5289

Other practice location 1

1018 Monroe St NE
Washington, DC 20017-1760
Phone (202) 977-5289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12616 Fair Crest CT
Fairfax, VA 22033-3887

2475 US Hwy 1 S
Saint Augustine, FL 32086-6077

413 W Robertson St
Suite B
Brandon, FL 33511-5014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC200002772DCMDClinical Social Worker
CSW009456GAMDClinical Social Worker
27456MDMDClinical Social Worker
0904017695VAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: anna.heath.1@32853.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1912602525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 MONROE ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200171760",
            "telephone_number": "202-977-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12616 FAIR CREST CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333887",
            "telephone_number": "904-445-7159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 Monroe St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200171760",
            "country_code": "US",
            "telephone_number": "202-977-5289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEATH",
        "first_name": "ANNA",
        "middle_name": "ABIGAIL",
        "name_prefix": "Miss",
        "credential": "LICSW, LCSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009456",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017695",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27456",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200002772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.