GLORIA JEAN MOG LCSW
NPI 1992825962
Social Worker - Clinical in Falls Church, VA

Q: What is Gloria Mog's NPI number?

The NPI number for Gloria Mog is 1992825962. It was assigned to this individual provider in the NPPES registry on March 31, 2007.

Q: What is Gloria Mog's specialty?

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

Q: Is Gloria Mog enrolled in Medicare?

No. Gloria Mog 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.

Q: When was this NPI record last updated?

The NPPES record for Gloria Mog was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 31, 2007Opted out of Medicare · through Apr 1, 2027

6073 ARLINGTON BLVD, FALLS CHURCH, VA 22044(703) 550-4164(703) 237-9197 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gloria Jean Mog Lcsw NPPES

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

GLORIA JEAN MOG LCSW (NPI 1992825962) is an individual clinical provider in Falls Church, Virginia, licensed in Virginia (0511) 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

NPI1992825962

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameGLORIA JEAN MOGCredential: LCSW

Location Address6073 ARLINGTON BLVDFalls Church, VA 22044-2721

Mailing Address6073 Arlington BlvdFalls Church, VA 22044-2721 · (703) 550-4164 · Fax (703) 237-9197

Phone(703) 550-4164

Fax(703) 237-9197

Sole ProprietorYes

Enumeration DateMarch 31, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1992825962 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 · 0511

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.

6073 ARLINGTON BLVD, Falls Church, VA 22044

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Other Identifiers 1

Medicare ID-Type Unspecified644981VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gloria Jean Mog Lcsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22044 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 17

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

LESLIE K. DALTON PH.D.

Psychologist (Clinical)