Deepa Patel, LCSW, CSOTP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007859 Issued in VA

Practice address

5415 Backlick Rd # C
Springfield, VA 22151-3915

Phone

(703) 750-1714

Fax

(703) 339-5651

NPI assigned

Jun 25, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1942682075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523421",
            "address_2": "ATTN CARMEN WYMAN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221525421",
            "telephone_number": "703-339-6471",
            "fax_number": "703-339-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 BACKLICK RD # C",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513915",
            "telephone_number": "703-750-1714",
            "fax_number": "703-339-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEEPA",
        "credential": "LCSW, CSOTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007859",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0812000610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Frances Partridge, PHD
• Erin Partsch, MS, OTR/L
• Naghmeh Pashmini, DMD
• Sara Ruth Passaro, LICSW, BCBA, LBA
• Anjana Patel
• Nimi Patel
• Nirav Patel
• Nirav Patel
• Pinal Patel
• Priyanka Patel

• Clinical Social Worker in Springfield, VA
• Providers in Springfield, 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 Apr 7, 2016; 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.