Matthew Raymond, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904013251 Issued in VA

Practice address

1495 Chain Bridge Rd Ste 300
MC Lean, VA 22101-5727

Phone

(703) 598-5559

NPI assigned

Apr 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jennifer Weaver and Associates, PLLC

  • Clinical Social Worker
  • MC Lean, VA
  • NPI 1588030993
  NPD (past)

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1972247930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 CHAIN BRIDGE RD STE 300",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015727",
            "telephone_number": "202-262-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 CHAIN BRIDGE RD STE 300",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015727",
            "telephone_number": "703-598-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904013251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-MEDICARE",
            "identifier": "0904013251",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1495ChainBridgeRd",
            "affiliation": "N",
            "endpointDescription": "BusinessOffice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1495 Chain Bridge Rd Ste 300",
            "city": "Mc Lean",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221015727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Chialy Hang Smith Ranade, PHD
• Brittany Lyn Randalow, BA, RBT
• Heather Nicole Rankin
• Jason Mark Rashkin, M.D.
• Lisa Tucker Ray, LCSW
• Vanessa June Francisco Real, NP
• Janea C Reed, LPC
• Regenerative Orthopedics and Sports Medicine, LLC
• Regenerative Orthopedics and Sports Medicine, LLC
• Julianne Keller Reilly, LCSW

• Mental Health Counselor in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.