Individual provider Active NPI

Victoria Danielle Agnellini, LCSW

  • Clinical Social Worker
  • Fredericksburg, VA
National Provider Identifier
1972184638
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015326 Issued in VA
Practice address
450 Solomon Dr Ste 101
Fredericksburg, VA 22405-1364
Phone
(540) 402-1199
NPI assigned
Apr 15, 2021
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 0904015326 VA Primary

Addresses

Primary practice location

450 Solomon Dr Ste 101
Fredericksburg, VA 22405-1364

Mailing address

11822 Geranium St
Fredericksburg, VA 22407-6264
Phone (540) 834-7507

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
I20240726001836 VA Practitioner - Clinical Social Worker 1658817572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904015326VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Healing, Inc. Social Worker CurrentSince Jun 1, 2024 Accepting new patients
Stafford County Public Schools PastSince Apr 1, 2021 Accepting new patients
Stafford County Public Schools PastSince Apr 1, 2021 Accepting new patients

Locations

450 Solomon Dr
Ste 101
Fredericksburg, VA 22405
Phone (540) 402-1199

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1972184638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11822 GERANIUM ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076264",
            "telephone_number": "540-834-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SOLOMON DR STE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051364",
            "telephone_number": "540-402-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNELLINI",
        "first_name": "VICTORIA",
        "middle_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.