Elaine P. Boomer PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003838 Issued in VA

Legal business name

ELAINE P. BOOMER PC

Practice address

501 Church St NE
Suite 206
Vienna, VA 22180-4734

Phone

(703) 255-2208

Fax

(703) 255-2482

NPI assigned

Jun 16, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Elaine P Boomer, LCSW

Title

President

Phone

(703) 255-2208

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Marianne G.M. Heilferty, LCSW

  • Clinical Social Worker
  • Vienna, VA
  • NPI 1861544355
  NPD (past)
• Virginia Maria Huici, MA, LPC

  • Professional Counselor
  • Vienna, VA
  • NPI 1306905344
  NPD (past)

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1285955021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CHURCH ST NE",
            "address_2": "SUITE 206",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804734",
            "telephone_number": "703-255-2208",
            "fax_number": "703-255-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CHURCH ST NE",
            "address_2": "SUITE 206",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804734",
            "telephone_number": "703-255-2208",
            "fax_number": "703-255-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE P. BOOMER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "BOOMER",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-255-2208",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tameria Edwards-Brewer, BCBA
• Jacqueline S Eghrari-Sabet, M.D.
• Katrina N Eid, PH.D. CCC-SLP
• Einstein Pediatrics PLLC
• Ela Neurology & Advanced Headache Center PLLC
• Hazem A Elariny, MD, PHD, FACS
• Oksana Elariny, DDS
• Maggie Jean Elbon
• Electrolysis Partners
• Elevated Mindset Therapy, LLC

• Clinical Social Worker in Vienna, VA
• Providers in Vienna, 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 16, 2010; 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.