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MICAELA SOLEDAD GIMENEZ LCSW
NPI 1003776782
Social Worker - Clinical in Manassas, VA

Active since November 14, 2025PECOS Enrolled
9320 LEE AVE, MANASSAS, VA 20110(703) 792-6420 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2025, Nov 14, 2025 (2 updates tracked since 2025).

About Micaela Soledad Gimenez Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICAELA SOLEDAD GIMENEZ LCSW (NPI 1003776782) is an individual clinical provider in Manassas, Virginia, licensed in Virginia (0904019479) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1003776782
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICAELA SOLEDAD GIMENEZCredential: LCSW
Location Address9320 LEE AVEManassas, VA 20110-5517
Mailing Address14805 Empire StWoodbridge, VA 22193-2622 · (703) 792-7373
Phone(703) 792-6420
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 14, 2025
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1003776782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904019479
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
9320 LEE AVE, Manassas, VA 20110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Micaela Soledad Gimenez Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971096264
PECOS Enrollment IDI20251204003063
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Micaela Gimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prince William County Community Services Board
3.3 mi
Mental Health (Including Community Mental Health Center)
7969 ASHTON AVE
Manassas, VA 20109
  • Reassigned Medicare billing, Virginia enrollment
  • 141 clinicians in this Medicare group
NPI 1053402800 (703) 792-7800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micaela Gimenez's NPI number?

The NPI number for Micaela Gimenez is 1003776782. It was assigned to this individual provider in the NPPES registry on November 14, 2025.

Where is Micaela Gimenez located?

Micaela Gimenez practices at 9320 Lee Ave, Manassas, VA 20110. The listed phone number is (703) 792-6420.

What is Micaela Gimenez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Micaela Gimenez enrolled in Medicare?

Yes. Micaela Gimenez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Micaela Gimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Micaela Gimenez reassigns Medicare benefits to Prince William County Community Services Board (Manassas, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Micaela Gimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Micaela Gimenez was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.