Fairfax Place Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FAIRFAX PLACE THERAPY

Practice address

9675 Main St Ste B
Fairfax, VA 22031-3762

Phone

(301) 337-7366

NPI assigned

Jun 14, 2022

Last updated

Jun 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Rosenberg, LCSW

Title

Member

Phone

(301) 337-7366

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1205566072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 MAIN ST STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313762",
            "telephone_number": "301-337-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 MAIN ST STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313762",
            "telephone_number": "301-337-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX PLACE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-337-7366",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.