Organization Active NPI

Sherry Sutherland, LCSW

  • Clinical Social Worker
  • Falls Church, VA
National Provider Identifier
1043450083
Registry record updated Aug 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002674 Issued in VA
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

Updated by the provider on Aug 19, 2012

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.NPI 1790702645
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
133804OtherVAMEDICARE
1790702645OtherVATYPE I NPI

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.