Organization Active NPI

Jill Farnsworth, LLC

  • Clinical Social Worker
  • Sterling, VA
National Provider Identifier
1053640573
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JILL FARNSWORTH, LLC
Practice address
2 Pidgeon Hill Dr
Sterling, VA 20165-6145
Phone
(571) 405-0566
Fax
(703) 433-1558
NPI assigned
Dec 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Jill Farnsworth
Title
Owner
Phone
(571) 405-0566

Specialties & licenses 1

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

Addresses

Primary practice location

2 Pidgeon Hill Dr
Sterling, VA 20165-6145

Mailing address

42496 Legacy Park Dr
Ashburn, VA 20148-5616

National Provider Directory

National Provider Directory

Locations

2 Pidgeon Hill Dr
Ste 450
Sterling, VA 20165
Phone (703) 433-1553

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1053640573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42496 LEGACY PARK DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201485616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PIDGEON HILL DR",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656145",
            "telephone_number": "571-405-0566",
            "fax_number": "703-433-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL FARNSWORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "FARNSWORTH",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-405-0566"
    },
    "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 Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.