MR. THOMAS P DUGGAN LCSW
NPI 1093812893
Social Worker - Clinical in Warrenton, VA

Q: What is Thomas Duggan's NPI number?

The NPI number for Thomas Duggan is 1093812893. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Thomas Duggan's specialty?

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

Q: Is Thomas Duggan enrolled in Medicare?

No. Thomas Duggan has opted out of Medicare through November 12, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Thomas Duggan was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.

Active since September 20, 2006Opted out of Medicare · through Nov 12, 2026

54 E LEE ST, WARRENTON, VA 20186(540) 347-0613(540) 347-0768 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Thomas P Duggan Lcsw NPPES

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

MR. THOMAS P DUGGAN LCSW (NPI 1093812893) is an individual clinical provider in Warrenton, Virginia, licensed in Virginia (0904000627) and active in the NPI registry since September 2006. He has opted out of Medicare through November 12, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093812893

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. THOMAS P DUGGANCredential: LCSW

Location Address54 E LEE STWarrenton, VA 20186

Mailing Address54 E Lee StWarrenton, VA 20186 · (540) 347-0613 · Fax (540) 347-0768

Phone(540) 347-0613

Fax(540) 347-0768

Sole ProprietorNo

Enumeration DateSeptember 20, 2006

Last NPPES UpdateDecember 4, 2007

✔ NPI 1093812893 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 · 0904000627

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.

54 E LEE ST, Warrenton, VA 20186

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Other Identifiers 3

Other072260006Carefirst

Medicare PIN800000423

Medicaid008901139VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Thomas P Duggan Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 12, 2022 through November 12, 2026.

Opt-Out Effective DateNovember 12, 2022

Opt-Out In Effect ThroughNovember 12, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20186 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.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOROTHY JACKSON SMITH LCSW

Social Worker (Clinical)