Jennifer McEwan, PH.D.
Individual provider Active NPI Clinical Psychologist · Alexandria, VA
NPI 1003003427 · NPPES record last updated Jun 9, 2021
Key facts
- NPI
- 1003003427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0810003739 (VA)
- Practice address
- 2560 Huntington Ave Ste 302
Alexandria, VA 22303-1448 - Phone
- (703) 765-1400
- NPI assigned
- Sep 30, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 10, 2022 through Mar 10, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810003739 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Vernon Family Therapy | Clinical | Current |
Accepting new patients |
Locations
2560 Huntington Ave
Ste 302
Alexandria, VA 22303
Phone (703) 765-6115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810003739 | VA | Yes |
Addresses
Primary practice location
2560 Huntington Ave Ste 302
Alexandria, VA 22303-1448
Mailing address
2560 Huntington Ave Ste 302
Alexandria, VA 22303-1448
Phone (703) 765-1400
Other providers in Alexandria, VA
- Anne Stewart McDonald
- Brian R McDonald
- Erin Irene McDonnell
- Whitney McDonough
- Karen McElfish
- Kendall McFarland
- Nicoy McFarlande
- Zora McFarlane-Blake
- Michelle Ann McGarry-Hansen
- Melinda Mayne McGarvey
All providers in Alexandria, VA · Clinical Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.