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MICHAEL ALLISON RIDGE LCSW
NPI 1114699048
Social Worker - Clinical in Fairfax, VA

Active since September 29, 2021PECOS EnrolledAccepts Medicare Assignment
10615 JUDICIAL DR STE 301, FAIRFAX, VA 22030(703) 667-0752 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Allison Ridge Lcsw NPPES

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

MICHAEL ALLISON RIDGE LCSW (NPI 1114699048) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904009175) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114699048
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL ALLISON RIDGECredential: LCSW
Location Address10615 JUDICIAL DR STE 301Fairfax, VA 22030-7501
Mailing Address502 W Broad St Apt 317Falls Church, VA 22046-3244 · (703) 966-9658
Phone(703) 667-0752
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 29, 2021
NPPES CertifiedSeptember 29, 2021
✔ NPI 1114699048 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 · 0904009175
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.
10615 JUDICIAL DR STE 301, Fairfax, VA 22030
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Other Identifiers 1

Other0904009175VA · Commonwealth Of Virginia Department Of Health Professions, Board Of Social Work

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Allison Ridge Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355739434
PECOS Enrollment IDI20211021002009
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
466 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 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 $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 5

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

MARGUERITE LOUISE LAWLESS LCSW
Social Worker (Clinical)
10615 JUDICIAL DR STE 301
FAIRFAX, VA 22030
Fairfax City (703) 667-0752
BROOKE LORI JOHNSON LCSW
Social Worker (Clinical)
10615 JUDICIAL DR STE 301
FAIRFAX, VA 22030
Fairfax City (703) 424-0410
SHARON PAGO MSW, LCSW, LICSW
Social Worker (Clinical)
10615 JUDICIAL DR STE 301
FAIRFAX, VA 22030
Fairfax City (703) 667-0752
DORINE NDAYIZIGIYE
Social Worker (Clinical)
10615 JUDICIAL DR STE 301
FAIRFAX, VA 22030
Fairfax City (540) 908-1765
STEPHANIE CLARK MARTIN LICSW, LCSW
Social Worker (Clinical)
10615 JUDICIAL DR STE 301
FAIRFAX, VA 22030
Fairfax City (703) 402-2091

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 Michael Ridge's NPI number?

The NPI number for Michael Ridge is 1114699048. It was assigned to this individual provider in the NPPES registry on September 29, 2021.

Where is Michael Ridge located?

Michael Ridge practices at 10615 Judicial Dr Ste 301, Fairfax, VA 22030. The listed phone number is (703) 667-0752.

What is Michael Ridge's specialty?

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

Is Michael Ridge enrolled in Medicare?

Yes. Michael Ridge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Ridge was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.