Organization Active NPI

The Dorr Center, LLC

  • Clinical Social Worker
  • Reston, VA
National Provider Identifier
1467549188
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001567 Issued in VA
Legal business name
THE DORR CENTER, LLC
Practice address
11870 Sunrise Valley Dr
200
Reston, VA 20191-3304
Phone
(703) 391-7380
Fax
(703) 391-7381
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Mrs. Gretchen Dorr Horst, LCSWNPI 1104913821
Title
Director/Owner
Phone
(703) 391-7380

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0904001567 VA Primary

Addresses

Primary practice location

11870 Sunrise Valley Dr
200
Reston, VA 20191-3304

Mailing address

11870 Sunrise Valley Dr
200
Reston, VA 20191-3304
Phone (703) 391-7380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727001627 DC Part B Supplier - Clinic/Group Practice 6305825803 Receives reassigned benefits from 1 practitioner
Practice locations: Herndon, VA

National Provider Directory

National Provider Directory

Locations

429 Carlisle Dr
Ste 205
Herndon, VA 20170
Phone (703) 391-7380

11870 Sunrise Valley Dr
Ste 200
Reston, VA 20191
Phone (703) 598-0036

Practitioners & affiliated clinicians

Practitioners 4

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1467549188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 SUNRISE VALLEY DR",
            "address_2": "200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913304",
            "telephone_number": "703-391-7380",
            "fax_number": "703-391-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11870 SUNRISE VALLEY DR",
            "address_2": "200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913304",
            "telephone_number": "703-391-7380",
            "fax_number": "703-391-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DORR CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "HORST",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "DORR",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "703-391-7380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.