Organization Active NPI

Timothy J. Sweeney, P.C.

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1376643288
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TIMOTHY J. SWEENEY, P.C.
Practice address
11244 Waples Mill Rd
Suite K
Fairfax, VA 22030-6040
Phone
(703) 359-4848
Fax
(703) 991-9130
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Timothy John Sweeney, LCSWNPI 1659327476
Title
President
Phone
(703) 359-4848

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

11244 Waples Mill Rd
Suite K
Fairfax, VA 22030-6040

Mailing address

11244 Waples Mill Rd
Suite K
Fairfax, VA 22030-6040
Phone (703) 359-4848

Other identifiers 2

IdentifierTypeStateIssuer
S276 0001OtherDCBLUECROSS BLUESHIELD
143965OtherVABLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

11244 Waples Mill Rd
Ste K
Fairfax, VA 22030
Phone (703) 218-2066

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1376643288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11244 WAPLES MILL RD",
            "address_2": "SUITE K",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306040",
            "telephone_number": "703-359-4848",
            "fax_number": "703-991-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11244 WAPLES MILL RD",
            "address_2": "SUITE K",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306040",
            "telephone_number": "703-359-4848",
            "fax_number": "703-991-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J. SWEENEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-359-4848",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "S276 0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "143965",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.