Organization Active NPI

Counseling by the Creek

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1164966115
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009103 Issued in VA
Legal business name
COUNSELING BY THE CREEK
Practice address
5016 Ridgewood Rd
Alexandria, VA 22312-2221
Phone
(703) 750-0258
Fax
(815) 550-1718
NPI assigned
Dec 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Susan Susie Bookfor, LCSW
Title
Sole Proprietor
Phone
(703) 750-0258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904009103 VA Primary

Addresses

Primary practice location

5016 Ridgewood Rd
Alexandria, VA 22312-2221

Mailing address

5016 Ridgewood Rd
Alexandria, VA 22312-2221
Phone (703) 750-0258

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1164966115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 RIDGEWOOD RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122221",
            "telephone_number": "703-750-0258",
            "fax_number": "815-550-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 RIDGEWOOD RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122221",
            "telephone_number": "703-750-0258",
            "fax_number": "815-550-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING BY THE CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "BOOKFOR",
        "authorized_official_first_name": "SUSAN SUSIE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "703-750-0258",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.