Individual provider Active NPI

Amal Z Rahhal, MSW

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1083801302
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
9840 Main St Ste 202
Fairfax, VA 22031-3909
Phone
(248) 345-6928
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

9840 Main St Ste 202
Fairfax, VA 22031-3909

Mailing address

9840 Main St Ste 202
Fairfax, VA 22031-3909
Phone (248) 345-6928

Other practice location 1

245 N Holbrook St
Plymouth, MI 48170-1486
Phone (248) 345-6928

Other identifiers 1

IdentifierTypeStateIssuer
3434247MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL amy.glpg@gmail.com
CONNECT URL amy.glpg@gmail.com

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Living Psychology Clinical CurrentSince Jul 25, 2019 Accepting new patients

Locations

9840 Main St
Ste 202
Fairfax, VA 22031
Phone (201) 306-5670

Organizations & group practices 1

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1083801302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 MAIN ST STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313909",
            "telephone_number": "248-345-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 MAIN ST STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313909",
            "telephone_number": "248-345-6928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 N Holbrook St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481701486",
            "country_code": "US",
            "telephone_number": "248-345-6928",
            "fax_number": "313-893-0064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHHAL",
        "first_name": "AMAL",
        "middle_name": "Z",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3434247",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amy.glpg@gmail.com",
            "affiliation": "N",
            "address_1": "9840 Main St Ste 202",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220313909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amy.glpg@gmail.com",
            "affiliation": "N",
            "address_1": "9840 Main St Ste 202",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220313909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.