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CHIDERA B ANUMUDU
NPI 1114763067
Social Worker - Clinical in Bristow, VA

Active since July 01, 2024PECOS Enrolled
11835 HAZEL CIRCLE DR, BRISTOW, VA 20136(703) 659-9900 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chidera B Anumudu NPPES

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

CHIDERA B ANUMUDU (NPI 1114763067) is an individual clinical provider in Bristow, Virginia, licensed in Virginia (0904016976) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114763067
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHIDERA B ANUMUDU
Location Address11835 HAZEL CIRCLE DRBristow, VA 20136-1223
Mailing Address7376 Route 29 Unit 104Falls Church, VA 22046-4766 · (919) 457-7150
Phone(703) 659-9900
Sole ProprietorNo
Enumeration DateJuly 1, 2024
NPPES CertifiedJune 18, 2024
✔ NPI 1114763067 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 · 0904016976
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.
11835 HAZEL CIRCLE DR, Bristow, VA 20136
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chidera B Anumudu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20136 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.

Other Providers at the Same Location NPPES 20

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

NATALIA BECKER LPC
Counselor (Mental Health)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (703) 396-7263
MR. TERRY ROBERT TINSLEY LPC, LMFT, NCC CSOTP
Counselor (Professional)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (703) 631-3360
JESSICA RENEE MILLER LCSW
Social Worker (Clinical)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (703) 310-7378
MRS. NAOMI BRITTON LPC
Counselor (Mental Health)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (703) 636-5105
MEAGAN A CAESAR LPC
Counselor (Professional)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (703) 396-7240
KATELYN E CLARK LPC
Counselor (Professional)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (571) 416-0537
ERIN KATHLEEN MCKINNEY FNP-C
Nurse Practitioner (Pediatrics)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (703) 659-0855
YOUTH FOR TOMORROW NEW LIFE CENTER INC
Community/Behavioral Health
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (703) 368-7995

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 Chidera Anumudu's NPI number?

The NPI number for Chidera Anumudu is 1114763067. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Chidera Anumudu located?

Chidera Anumudu practices at 11835 Hazel Circle Dr, Bristow, VA 20136. The listed phone number is (703) 659-9900.

What is Chidera Anumudu's specialty?

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

Is Chidera Anumudu enrolled in Medicare?

Yes. Chidera Anumudu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chidera Anumudu was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.