NPIMap

Organization Active NPI

Womens Center

  • Clinical Social Worker
  • Vienna, VA
National Provider Identifier
1164527859
Registry record updated Sep 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WOMENS CENTER
Practice address
8230 Old Courthouse Rd Ste 500
Vienna, VA 22182-3840
Phone
(703) 281-2657
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2023

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

Authorized official

Name
Jimmie Roberson
Title
V.P.of HR & Administration
Phone
(571) 385-0903

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8230 Old Courthouse Rd Ste 500
Vienna, VA 22182-3840

Mailing address

8230 Old Courthouse Rd Ste 500
Vienna, VA 22182-3840
Phone (571) 385-0903

Other practice location 1

1025 Vermont Ave NW Ste 310
Washington, DC 20005-6302
Phone (571) 385-0903

Other names 1

  • The Women's Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041015000586 DC Part B Supplier - Clinic/Group Practice 5799745584 Receives reassigned benefits from 18 practitioners
Practice locations: Vienna, VA; Washington, DC

National Provider Directory

National Provider Directory

Locations

1025 Vermont Ave NW
Ste 310
Washington, DC 20005
Phone (202) 293-4580

8230 Old Courthouse Rd
Ste 500
Vienna, VA 22182
Phone (571) 385-0903

133 Park St NE
Fl 2
Vienna, VA 22180

133 Park St NE
Vienna, VA 22180
Phone (703) 281-2657

Practitioners & affiliated clinicians

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694822400000",
    "number": "1164527859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 OLD COURTHOUSE RD STE 500",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823840",
            "telephone_number": "571-385-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 OLD COURTHOUSE RD STE 500",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823840",
            "telephone_number": "703-281-2657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Vermont Ave NW Ste 310",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200056302",
            "country_code": "US",
            "telephone_number": "571-385-0903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOMENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-09-16",
        "certification_date": "2023-09-16",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_title_or_position": "V.P.OF HR & ADMINISTRATION",
        "authorized_official_telephone_number": "571-385-0903"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Women's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.