Individual provider Active NPI

Tiffany Rae Barnhard, LCSW

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1922407469
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904012633 Issued in VA
Practice address
6901 S Van Dorn St
Alexandria, VA 22315-3961
Phone
(703) 313-6300
Fax
(703) 313-6375
NPI assigned
Aug 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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 0904012633 VA Primary

Addresses

Primary practice location

6901 S Van Dorn St
Alexandria, VA 22315-3961

Mailing address

2700 W Genesee Ave
Saginaw, MI 48602-3723
Phone (989) 799-1266

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
I20210720002918 DC Practitioner - Clinical Social Worker 4789087305 Reassigns benefits to 1 organization
I20220322002713 VA Practitioner - Clinical Social Worker 4789087305 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904012633VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax County, Virginia CurrentSince Apr 13, 2021 Accepting new patients
Myspectrum LLC CurrentSince Dec 14, 2021 Accepting new patients
Fairfax County, Virginia Past Accepting new patients
Bayside Lodge Past Accepting new patients

Locations

4213 Walney Rd
Chantilly, VA 20151
Phone (703) 502-7000

12011 Government Center Pkwy
Ste 836
Fairfax, VA 22035
Phone (703) 324-7017

6901 S Van Dorn St
Kingstowne, VA 22315
Phone (703) 313-6300

707 N Courthouse Rd
North Chesterfield, VA 23236
Phone (804) 332-5696

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": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1922407469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W GENESEE AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023723",
            "telephone_number": "989-799-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 S VAN DORN ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223153961",
            "telephone_number": "703-313-6300",
            "fax_number": "703-313-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNHARD",
        "first_name": "TIFFANY",
        "middle_name": "RAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.