Active NPI
Therapeutic Milestonez LLC
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1477377802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THERAPEUTIC MILESTONEZ LLC
- Practice address
- 6600 Indian Trail CT
Alexandria, VA 22310-2411 - Phone
- (804) 223-0802
- NPI assigned
- Nov 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jarrod Wallace
- Title
- Owner
- Phone
- (804) 223-0802
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6600 Indian Trail CT
Alexandria, VA 22310-2411
Mailing address
6600 Indian Trail CT
Alexandria, VA 22310-2411
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- School Social Worker
- Fairfax, VA
- NPI 1487346763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731369600000",
"number": "1477377802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 INDIAN TRAIL CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223102411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 INDIAN TRAIL CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223102411",
"telephone_number": "804-223-0802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC MILESTONEZ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-12",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "JARROD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-223-0802"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
- Kristy Theodore, LPC
- Therapeds, LLC
- Therapeutic Alliance Home Health Services Inc
- Therapeutic Alliance Home Health Services,Inc
- Therapeutic Employee Solutions, LLC
- Therapeutic Skills LLC
- Therapeutic Solutions Consulting
- James Michael Thiel, MD, MPH
- Melissa Joy Thiel, M.D.
- Thomas C. Roberts, Jr., DMD, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.