NPIMap

Organization Active NPI

Fatina Smith, LCSW, LLC

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1447513346
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006958 Issued in VA
Legal business name
FATINA SMITH, LCSW, LLC
Practice address
10560 Main St
Suite 317
Fairfax, VA 22030-7182
Phone
(703) 728-8329
NPI assigned
Jun 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Fatina Smith, LCSWNPI 1053642421
Title
Owner
Phone
(703) 728-8329

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 0904006958 VA Primary

Addresses

Primary practice location

10560 Main St
Suite 317
Fairfax, VA 22030-7182

Mailing address

10560 Main St
Suite 317
Fairfax, VA 22030-7182
Phone (703) 728-8329

National Provider Directory

National Provider Directory

Locations

10560 Main St
Ste 317
Fairfax, VA 22030
Phone (703) 728-8329

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": "1339891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1447513346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST",
            "address_2": "SUITE 317",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307182",
            "telephone_number": "703-728-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST",
            "address_2": "SUITE 317",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307182",
            "telephone_number": "703-728-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATINA SMITH, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-17",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FATINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-728-8329",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006958",
            "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 Aug 15, 2013; 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.