Active NPI
Amal Z Rahhal, MSW
- Clinical Social Worker
- Fairfax, VA
National Provider Identifier
1083801302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3434247 | Medicaid | MI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Living Psychology | Clinical | Current | 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.
-
- Clinical Social Worker
- Fairfax, VA
- NPI 1922651033
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.