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MS. CAROLINE JOYCE CSONGOS LCSW
NPI 1831290329
Social Worker - Clinical in Gainesville, VA

Active since September 26, 2006PECOS Enrolled
81.28/100
CMS Quality Rating
13575 HEATHCOTE BLVD STE 201, GAINESVILLE, VA 20155(703) 289-7560(703) 289-8710 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Caroline Joyce Csongos Lcsw NPPES

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

MS. CAROLINE JOYCE CSONGOS LCSW (NPI 1831290329) is an individual clinical provider in Gainesville, Virginia, licensed in Virginia (0904004862) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831290329
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CAROLINE JOYCE CSONGOSCredential: LCSW
Location Address13575 HEATHCOTE BLVD STE 201Gainesville, VA 20155-6660
Mailing Address13575 Heathcote Blvd Ste 201Gainesville, VA 20155-6660 · (703) 289-7560 · Fax (703) 289-8710
Phone(703) 289-7560
Fax(703) 289-8710
Sole ProprietorYes
Enumeration DateSeptember 26, 2006
Last NPPES UpdateDecember 12, 2019
✔ NPI 1831290329 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 · 0904004862
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.
13575 HEATHCOTE BLVD STE 201, Gainesville, VA 20155
Open in Google Maps ↗

Other Identifiers 1

Other0904004862VA · Clinical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Caroline Joyce Csongos Lcsw 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Caroline Csongos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inova Health Care Services
19 mi
Urgent Care
100 MAPLE AVE E
Vienna, VA 22180
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1952320061 (District of Columbia)
  • 2,379 clinicians in this Medicare group
NPI 1275886418 (703) 938-5300
Thrive Counseling LLC
127 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Virginia enrollment
  • 302 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20155 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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 Caroline Csongos's NPI number?

The NPI number for Caroline Csongos is 1831290329. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Caroline Csongos located?

Caroline Csongos practices at 13575 Heathcote Blvd Ste 201, Gainesville, VA 20155. The listed phone number is (703) 289-7560.

What is Caroline Csongos's specialty?

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

Is Caroline Csongos enrolled in Medicare?

Yes. Caroline Csongos is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Caroline Csongos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Csongos reassigns Medicare benefits to 2 organizations: Inova Health Care Services (Vienna, VA) and Thrive Counseling LLC (Lynchburg, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Csongos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Csongos accept?

Health plans from Oscar Health list Caroline Csongos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caroline Csongos was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.