Active NPI
Keneisha Newland
- Social Worker
- Fairfax, VA
National Provider Identifier
1437661055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06242400
- Practice address
- 1166 Fairfax Blvd Suite 500
PMB 1024
Fairfax, VA 20112-2554 - Phone
- (540) 326-5646
- NPI assigned
- Nov 5, 2017
- Last updated
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06242400 | NJ | Primary |
Addresses
Primary practice location
1166 Fairfax Blvd Suite 500
PMB 1024
Fairfax, VA 20112-2554
Mailing address
10547 Waterbury Woods Way
Manassas, VA 20112-2460
Phone (540) 326-5646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06242400 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1437661055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10547 WATERBURY WOODS WAY",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201122460",
"telephone_number": "540-326-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1166 FAIRFAX BLVD SUITE 500",
"address_2": "PMB 1024",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "201122554",
"telephone_number": "540-326-5646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWLAND",
"first_name": "KENEISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-05",
"last_updated": "2025-01-09",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06242400",
"primary": true
}
],
"identifiers": [],
"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 Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.