Gerald Smolen, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001867 Issued in VA

Practice address

5045 Backlick Road
Annandale, VA 22032

Phone

(703) 914-1082

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fairfax County, Virginia

  dba Fairfax-Falls Church Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfax, VA
  • NPI 1154356244
  NPD (past)
• New Horizons Psychological Services Inc

  • Clinical Psychologist
  • Annandale, VA
  • NPI 1982792917
  NPD (past)
• Prince William County

  dba Prince William County Department of Fire and Rescue

  • Ambulance
  • Prince William, VA
  • NPI 1235437385
  NPD (past)
• Prince William County Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manassas, VA
  • NPI 1053402800
  NPD (past)
• New Horizons Psychological Services LLC

  • Clinical Child & Adolescent Psychologist
  • Fort Washington, MD
  • NPI 1053403386
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316953508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 CORONADO TER",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313835",
            "telephone_number": "703-218-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 BACKLICK ROAD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22032",
            "telephone_number": "703-914-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLEN",
        "first_name": "GERALD",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smiles Mobile Dental Services
• Smilescrafters of Annadale
• Sawyer A Smith, LMT
• Valerie Schnibbe Smith, MSW
• Warren J Smith, D.O.
• Sandra E. Sohns, CFNP
• Makar Adel Soliman, DPT
• Jackson Son
• Minkyeong Son, DPT
• Han D Song

• Clinical Social Worker in Annandale, VA
• Providers in Annandale, 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 Jul 8, 2007; 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.