Adolescent and Family Growth Center, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ADOLESCENT AND FAMILY GROWTH CENTER, INC.

Practice address

8000 Forbes PL
Suite 201
Springfield, VA 22151-2200

Phone

(703) 425-9200

Fax

(703) 425-9206

NPI assigned

Feb 7, 2007

Last updated

Aug 2, 2012By 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

Jermaine H. Johnson, MS, MFT

Title

Executive Director

Phone

(703) 425-9200

Specialties & licenses 4

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wendy Umbarger, LCSW

  • Clinical Social Worker
  • Springfield, VA
  • NPI 1619334869
  NPD (past)
• Marianne Longshore Werth, LCSW

  • Clinical Social Worker
  • Springfield, VA
  • NPI 1891062618
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1295875375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 FORBES PL",
            "address_2": "SUITE 201",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221512200",
            "telephone_number": "703-425-9200",
            "fax_number": "703-425-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 FORBES PL",
            "address_2": "SUITE 201",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221512200",
            "telephone_number": "703-425-9200",
            "fax_number": "703-425-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLESCENT AND FAMILY GROWTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-425-9200",
        "authorized_official_credential": "MS, MFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "24203001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Springfield, VA
• Providers in Springfield, 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 Aug 2, 2012; 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.