Christopher Leibowitz

Individual provider Active NPI Clinical Social Worker · Ashburn, VA

NPI 1124783113 · NPPES record last updated Nov 3, 2021

Key facts

NPI
1124783113
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
44340 Premier PLZ Ste 230
Ashburn, VA 20147-5074
Phone
(703) 606-2656
NPI assigned
Nov 3, 2021
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Activv Manassas Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

44340 Premier PLZ Ste 230
Ashburn, VA 20147-5074

Mailing address

1747 Wainwright Dr
Reston, VA 20190-3437
Phone (703) 606-6265

Other providers in Ashburn, VA

All providers in Ashburn, VA · Clinical Social Worker in Virginia

Sources for this page

Verify at the official NPI Registry.