Active NPI
Sherry Sutherland, LCSW
- Clinical Social Worker
- Falls Church, VA
National Provider Identifier
1043450083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904002674
- Legal business name
- SHERRY SUTHERLAND, LCSW
- Practice address
- 200 Little Falls St
Suite 205
Falls Church, VA 22046-4302 - Phone
- (703) 533-8007
- Fax
- (703) 433-1558
- NPI assigned
- Mar 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sherry Sutherland, L.C.S.W.
- Title
- President
- Phone
- (703) 533-8007
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904002674 | VA | Primary |
Addresses
Primary practice location
200 Little Falls St
Suite 205
Falls Church, VA 22046-4302
Mailing address
200 Little Falls St
Suite 205
Falls Church, VA 22046-4302
Phone (703) 533-8007
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133804 | Other | VA | MEDICARE |
| 1790702645 | Other | VA | TYPE I NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Falls Church, VA
- NPI 1790702645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345334400000",
"number": "1043450083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LITTLE FALLS ST",
"address_2": "SUITE 205",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220464302",
"telephone_number": "703-533-8007",
"fax_number": "703-433-1558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LITTLE FALLS ST",
"address_2": "SUITE 205",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220464302",
"telephone_number": "703-533-8007",
"fax_number": "703-433-1558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERRY SUTHERLAND, LCSW",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-04",
"last_updated": "2012-08-19",
"status": "A",
"authorized_official_last_name": "SUTHERLAND",
"authorized_official_first_name": "SHERRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-533-8007",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "L.C.S.W."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904002674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "133804",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE I NPI",
"identifier": "1790702645",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.