Organization Active NPI

Sacred Ground Therapy

  • Clinical Social Worker
  • Fredericksburg, VA
National Provider Identifier
1033091442
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SACRED GROUND THERAPY
Practice address
9308 Sun Bluff Way Apt 303
Fredericksburg, VA 22408-7919
Phone
(434) 327-9285
NPI assigned
Jul 24, 2025
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Qourtasia Keshone Watson, LCSW
Title
Owner
Phone
(434) 327-9285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9308 Sun Bluff Way Apt 303
Fredericksburg, VA 22408-7919

Mailing address

9308 Sun Bluff Way Apt 303
Fredericksburg, VA 22408-7919
Phone (434) 327-9285

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1033091442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 SUN BLUFF WAY APT 303",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087919",
            "telephone_number": "434-327-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9308 SUN BLUFF WAY APT 303",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087919",
            "telephone_number": "434-327-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED GROUND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "QOURTASIA",
        "authorized_official_middle_name": "KESHONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-327-9285",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.