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MS. NANCY WACHTENHEIM L.C.S.W.
NPI 1649302142
Specialist in Fairfax, VA

Active since March 10, 2007Opted out of Medicare · through Apr 1, 2027
3923 BLENHEIM BLVD., SUITE 63-D, FAIRFAX, VA 22030(703) 277-7668 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Nancy Wachtenheim L.c.s.w. NPPES

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

MS. NANCY WACHTENHEIM L.C.S.W. (NPI 1649302142) is an individual specialist in Fairfax, Virginia, licensed in Virginia (0904001780) and active in the NPI registry since March 2007. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649302142
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. NANCY WACHTENHEIMCredential: L.C.S.W.
Location Address3923 BLENHEIM BLVD., SUITE 63-DFairfax, VA 22030
Mailing Address3923 Blenheim Blvd., Suite 63-dFairfax, VA 22030 · (703) 277-7668
Phone(703) 277-7668
Sole ProprietorNo
Enumeration DateMarch 10, 2007
Last NPPES UpdateJanuary 18, 2023
NPPES CertifiedJanuary 18, 2023
✔ NPI 1649302142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0904001780
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3923 BLENHEIM BLVD., Fairfax, VA 22030
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Other Identifiers 2

Other210562Anthem
Other1352Bluecrossblueshield

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. Nancy Wachtenheim L.c.s.w. 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 April 1, 2013 through April 1, 2027.

Opt-Out Effective DateApril 1, 2013
Opt-Out In Effect ThroughApril 1, 2027Opt-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.

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 Nancy Wachtenheim's NPI number?

The NPI number for Nancy Wachtenheim is 1649302142. It was assigned to this individual provider in the NPPES registry on March 10, 2007.

Where is Nancy Wachtenheim located?

Nancy Wachtenheim practices at 3923 Blenheim Blvd. Suite 63-D, Fairfax, VA 22030. The listed phone number is (703) 277-7668.

What is Nancy Wachtenheim's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Nancy Wachtenheim enrolled in Medicare?

No. Nancy Wachtenheim has opted out of Medicare through April 1, 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 Nancy Wachtenheim was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.