Active NPI
Malvona Patreace Ross-Sohl, LCSW
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1467224022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904016071
- Practice address
- 950 N Washington St
Alexandria, VA 22314-2393 - Phone
- (703) 718-6631
- NPI assigned
- Oct 26, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904016071 | VA | Primary |
Addresses
Primary practice location
950 N Washington St
Alexandria, VA 22314-2393
Mailing address
4000 Chain Bridge Rd
Fairfax, VA 22030-4017
Phone (703) 383-8500
Other practice location 1
4000 Chain Bridge Rd
Fairfax, VA 22030-4017
Phone (703) 383-8500
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 |
|---|---|---|---|
| 0904016071 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1467224022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 CHAIN BRIDGE RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304017",
"telephone_number": "703-383-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N WASHINGTON ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142393",
"telephone_number": "703-718-6631"
}
],
"practiceLocations": [
{
"address_1": "4000 Chain Bridge Rd",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220304017",
"country_code": "US",
"telephone_number": "703-383-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS-SOHL",
"first_name": "MALVONA",
"middle_name": "PATREACE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-26",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904016071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.