Amy Vaughters
Social Worker, Clinical in Fort Myer, VA. Individual provider (NPI-1).
NPI number1609515196
StatusActive
Last updated in NPPESOct 13, 2026
Details
- NPI
- 1609515196
- Entity type
- Individual (NPI-1)
- Name
- Amy Vaughters
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2022
- Certification date
- Oct 13, 2026
- Last updated
- Oct 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.2304851 | OH | Yes |
| 1041C0700X | Social Worker, Clinical | 0904019537 | VA |
Practice location
401 Carpenter RdFort Myer, VA 22211-1009
Phone 703-696-3456
Mailing address
401 Carpenter RdFort Myer, VA 22211-1009
Phone 703-696-3456
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Social Worker providers in Fort Myer, VA
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All 5 Clinical Social Worker providers in Fort Myer · All 55 providers in Fort Myer
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