Active NPI
Ida Damkilde, LCSW
- Social Worker
- Fort Belvoir, VA
National Provider Identifier
1932668472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0904013564
- Practice address
- 9300 Dewitt Loop
Fort Belvoir, VA 22060-5285 - Phone
- (571) 231-1803
- NPI assigned
- Mar 14, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 0904013564 | VA | Primary |
Addresses
Primary practice location
9300 Dewitt Loop
Fort Belvoir, VA 22060-5285
Mailing address
3025 Hamaker CT Ste 450
Fairfax, VA 22031-2237
Phone (703) 204-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250710002480 | VA | Order and Referring Only - Clinical Social Worker | 6608267372 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904013564 | VA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1932668472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 HAMAKER CT STE 450",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312237",
"telephone_number": "703-204-9100",
"fax_number": "301-468-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 DEWITT LOOP",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220605285",
"telephone_number": "571-231-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMKILDE",
"first_name": "IDA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0904013564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.