NPIMap

Organization Active NPI

Flourish Like Foliage, Inc.

  • Clinical Social Worker
  • Woodbridge, VA
National Provider Identifier
1376144337
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FLOURISH LIKE FOLIAGE, INC.
Practice address
15732 John Diskin Cir
Woodbridge, VA 22191-6550
Phone
(310) 218-8345
NPI assigned
Nov 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Ruth IlboudoNPI 1518568518
Title
Director
Phone
(310) 218-8345

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

15732 John Diskin Cir
Woodbridge, VA 22191-6550

Mailing address

15732 John Diskin Cir
Woodbridge, VA 22191-6550
Phone (310) 218-8345

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.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1376144337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15732 JOHN DISKIN CIR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916550",
            "telephone_number": "310-218-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15732 JOHN DISKIN CIR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916550",
            "telephone_number": "310-218-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH LIKE FOLIAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "ILBOUDO",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-218-8345"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.