Patricia Rodgers Herrity, LCSW, RN

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0904011312 Issued in VA

Practice address

14150 Parkeast Cir Ste 200
Chantilly, VA 20151-4212

Phone

(703) 449-6115

Fax

(703) 449-6110

NPI assigned

Oct 21, 2019

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

Enrolled in DC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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.

• Fairfax County, Virginia

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfax, VA
  • NPI 1154356244

  DC

  Medicare reassignment

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1962045120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 PARKEAST CIR STE 200",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514212",
            "telephone_number": "703-502-7015",
            "fax_number": "703-449-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 PARKEAST CIR STE 200",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514212",
            "telephone_number": "703-449-6115",
            "fax_number": "703-449-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRITY",
        "first_name": "PATRICIA",
        "middle_name": "RODGERS",
        "credential": "LCSW, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001240312",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904011312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Heidenreich, NP-C
• Sabine Heisman
• Roselena Hernandez-Justiniano, RBT
• Katterin R Hernandez-Viva
• Jodi Herrera
• Holly Hershberger, P.T.
• Lauren Hertel
• Yasmine Mona Hijazi, M.D.
• Brandon N Hill, DPT
• Adam Hiller, LCSW

• Social Worker in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.

Verify at the official NPI Registry.