Grace Out Loud Therapy Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GRACE OUT LOUD THERAPY SERVICES, LLC

Practice address

2150 Silversmith CT
Woodbridge, VA 22191-4123

Phone

(571) 412-1006

NPI assigned

Mar 17, 2023

Organization subpart

No

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

Authorized official

Name

Ana-Alicia Farrar Brown, LICSW

Title

Clinical Social Worker

Phone

(336) 926-7476

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1417658295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 SILVERSMITH CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914123",
            "telephone_number": "571-412-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 SILVERSMITH CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914123",
            "telephone_number": "571-412-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE OUT LOUD THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANA-ALICIA",
        "authorized_official_middle_name": "FARRAR",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "336-926-7476",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tai Michelle Gorecke, M.S.
• Nicole Gosda, MA- LPC-R
• Behnam M Goudarzi, M.D.
• Deepshikha Goyal, M.D.
• Grace Counseling & Mediation Services LLC
• Grace Perinatal Associates, Inc.
• Gracestar Health Services LLC
• Gracestar Home Health LLC
• Gracetouch Psychiatry and Wellness PLLC
• Irina Grandjean, FNP-C

• Clinical Social Worker in Woodbridge, VA
• Providers in Woodbridge, 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 Mar 17, 2023; 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.