Sue Ellen Mawhinney, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009157 Issued in VA

Practice address

720 N Saint Asaph St
CSB, Emergency Services
Alexandria, VA 22314-1912

Phone

(703) 746-3401

Fax

(703) 746-3674

NPI assigned

Jun 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1295185759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N SAINT ASAPH ST",
            "address_2": "CSB, EMERGENCY SERVICES",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141912",
            "telephone_number": "703-746-3401",
            "fax_number": "703-746-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N SAINT ASAPH ST",
            "address_2": "CSB, EMERGENCY SERVICES",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141912",
            "telephone_number": "703-746-3401",
            "fax_number": "703-746-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWHINNEY",
        "first_name": "SUE ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Matukaitis, PHYSICAL THERAPIST
• Anton Matveev
• Barbara K. Maust, M.ED.
• Maggie Ellen Maver
• Khin Thet Maw, M.D.
• Hannah Maxey
• Xavier Eugene Maxstadt, L.AC
• May & Hettler, O.D., PLLC
• May & Hettler, O.D., PLLC
• May & Hettler, O.D., PLLC

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, 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 15, 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.