Individual provider Active NPI

Erin Guiffre, LCSW, BCBA, LBA

  • Clinical Social Worker
  • Gainesville, VA
National Provider Identifier
1043677974
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010686 Issued in VA
Practice address
5426 Lick River LN
Gainesville, VA 20155-1385
Phone
(571) 277-9357
NPI assigned
Jan 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-15-6470 VA
Behavior Analyst 103K00000X 1-19-39004 VA
Clinical Social Worker 1041C0700X 0904010686 VA Primary

Addresses

Primary practice location

5426 Lick River LN
Gainesville, VA 20155-1385

Mailing address

5426 Lick River LN
Gainesville, VA 20155-1385

Other practice location 1

4448 Labrador Ct
Amissville, VA 20106-2218
Phone (571) 277-9357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904010686VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Therapy Solutions LLC Behavior Analyst CurrentSince Aug 2, 2020 Accepting new patients
Autism Specialist LLC Behavior Analyst Past Accepting new patients

Locations

5501 Merchants View Sq
Haymarket, VA 20169
Phone (571) 531-8206

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1043677974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 LICK RIVER LN",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 LICK RIVER LN",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551385",
            "telephone_number": "571-277-9357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4448 Labrador Ct",
            "address_purpose": "LOCATION",
            "city": "Amissville",
            "state": "VA",
            "postal_code": "201062218",
            "country_code": "US",
            "telephone_number": "571-277-9357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUIFFRE",
        "first_name": "ERIN",
        "credential": "LCSW, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0-15-6470",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-19-39004",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.