Individual provider Active NPI

Adrianne Zajicek, LCSW

  • Clinical Social Worker
  • Harrisonburg, VA
National Provider Identifier
1962269837
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904016266 Issued in VA
Practice address
136 W Elizabeth St Ste 201
Harrisonburg, VA 22802-3855
Phone
(540) 564-5104
NPI assigned
Mar 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 0904016266 VA Primary

Addresses

Primary practice location

136 W Elizabeth St Ste 201
Harrisonburg, VA 22802-3855

Mailing address

136 W Elizabeth St Ste 201
Harrisonburg, VA 22802-3855
Phone (540) 564-5104

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522003229 VA Practitioner - Clinical Social Worker 6507208535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians

Practice addresses (Care Compare)

136 W Elizabeth St
Suite 201
Harrisonburg, VA 22802-3811
Phone (540) 564-5104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904016266VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Apr 7, 2024 Accepting new patients
RMH Medical Group LLC CurrentSince Apr 7, 2024 Accepting new patients

Locations

136 W Elizabeth St
Ste 102
Harrisonburg, VA 22802
Phone (540) 564-5100

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

Organizations & group practices 2

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": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1962269837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W ELIZABETH ST STE 201",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228023855",
            "telephone_number": "540-564-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W ELIZABETH ST STE 201",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228023855",
            "telephone_number": "540-564-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJICEK",
        "first_name": "ADRIANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.