NPIMap

Organization Active NPI

The Corvus Center for Mental Health Services

  • Clinical Social Worker
  • Clifton, VA
National Provider Identifier
1336764737
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE CORVUS CENTER FOR MENTAL HEALTH SERVICES
Practice address
11915 Lilita Lane
Clifton, VA 20124
Phone
(703) 424-7647
Fax
(703) 424-7647
NPI assigned
Jun 11, 2020
Last updated
Dec 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Sarah Mulhaul, LCSWNPI 1407202153
Title
Owner
Phone
(973) 727-2745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11915 Lilita Lane
Clifton, VA 20124

Mailing address

PO Box 244
Clifton, VA 20124-0244
Phone (973) 727-2745

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1336764737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201240244",
            "telephone_number": "973-727-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11915 LILITA LANE",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "20124",
            "telephone_number": "703-424-7647",
            "fax_number": "703-424-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CORVUS CENTER FOR MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-12-10",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "MULHAUL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-727-2745",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.