Organization Active NPI

Social Skills for Life, LLC

  • Developmental Disabilities Clinic/Center
  • Falls Church, VA
National Provider Identifier
1467178533
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
SOCIAL SKILLS FOR LIFE, LLC
Practice address
210 E Broad St Ste G2
Falls Church, VA 22046-4505
Phone
(571) 295-5116
NPI assigned
Oct 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Gina Ferrara
Title
Owner
Phone
(571) 295-5116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

210 E Broad St Ste G2
Falls Church, VA 22046-4505

Mailing address

9204 Traveller St
Manassas, VA 20110-4939

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL socialskillsforlife.net

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1467178533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9204 TRAVELLER ST",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E BROAD ST STE G2",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464505",
            "telephone_number": "571-295-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL SKILLS FOR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "FERRARA",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-295-5116"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "socialskillsforlife.net",
            "affiliation": "N",
            "address_1": "210 E Broad St Ste G2",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220464505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.