Gavin Meeks O'Brien

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0903002988 Issued in VA

Practice address

4001 Prince William Pkwy Ste 300
Woodbridge, VA 22192-7667

Phone

(833) 356-4080

NPI assigned

Mar 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1245791029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 PRINCE WILLIAM PKWY STE 300",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927667",
            "telephone_number": "833-356-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 PRINCE WILLIAM PKWY STE 300",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927667",
            "telephone_number": "833-356-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "GAVIN",
        "middle_name": "MEEKS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903002988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel O Nwufoh, MD
• Emmanuel Fosu Nyamesem, RHIT
• Lynda Marie Nyamou, PHARMD
• Nyava Healthcare & in Home Services
• Rumbidzayi Nzara Mukurazhizha, M.D.
• Jerome Thomas O'Connell Jr., M.D.
• Janet O'Connor, M.D.
• Mercedies-Marie Mikala O'Connor, BCBA, LBA
• Maureen Theresa O'Dea, M.D.
• Maria O'Loughlin

• Social Worker in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.