Organization Active NPI

Colibri Clinical Center, LLC

  • Clinical Social Worker
  • Manassas, VA
National Provider Identifier
1205796208
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COLIBRI CLINICAL CENTER, LLC
Practice address
9028 Prince William St Ste E
Manassas, VA 20110-5664
Phone
(703) 743-4002
NPI assigned
Nov 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Carolina Beatriz Diaz, LCSWNPI 1194409193
Title
Founder
Phone
(703) 743-4002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9028 Prince William St Ste E
Manassas, VA 20110-5664

Mailing address

9028 Prince William St Ste E
Manassas, VA 20110-5664
Phone (703) 743-4002

National Provider Directory

National Provider Directory

Locations

9028 Prince William St
Ste E
Manassas, VA 20110
Phone (703) 743-4002

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": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1205796208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9028 PRINCE WILLIAM ST STE E",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105664",
            "telephone_number": "703-743-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9028 PRINCE WILLIAM ST STE E",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105664",
            "telephone_number": "703-743-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIBRI CLINICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_middle_name": "BEATRIZ",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "703-743-4002",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.