MS. EDITH LYNNE BROKAW LCSW, CSAC
NPI 1639284326
Social Worker - Clinical in Ashburn, VA
About Ms. Edith Lynne Brokaw Lcsw, Csac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. EDITH LYNNE BROKAW LCSW, CSAC (NPI 1639284326) is an individual clinical provider in Ashburn, Virginia, licensed in Virginia (0904005800) and active in the NPI registry since August 2006. She has opted out of Medicare through May 18, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ms. Edith Lynne Brokaw Lcsw, Csac 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 May 18, 2017 through May 18, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ASHBURN, VA 20147
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 Edith Brokaw's NPI number?
The NPI number for Edith Brokaw is 1639284326. It was assigned to this individual provider in the NPPES registry on August 20, 2006.
Where is Edith Brokaw located?
Edith Brokaw practices at 44081 Pipeline Plz #105, Ashburn, VA 20147. The listed phone number is (703) 403-6944.
What is Edith Brokaw's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Edith Brokaw enrolled in Medicare?
No. Edith Brokaw has opted out of Medicare through May 18, 2027. 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.
When was this NPI record last updated?
The NPPES record for Edith Brokaw was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Ms. Edith Lynne Brokaw, LCSW, CSAC · NPI 1639284326
Clinical provider in Ashburn, Virginia. Individual provider, active in the CMS NPPES registry since August 20, 2006.
## Identity
- **NPI:** 1639284326 (Entity type: Individual)
- **Enumerated:** August 20, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 0904005800 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 44081 PIPELINE PLZ, #105, Ashburn, VA 20147-5891
- **Phone:** (703) 403-6944
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 18, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** August 8, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1639284326) · Data from the CMS NPPES public registry.