Active NPI
Shariff Ruffin, LCSW
- Clinical Social Worker
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 7987 Ashton Ave
Manassas, VA 20109 - Phone
- (571) 200-6980
- NPI assigned
- Jan 1, 2021
- Last updated
- Jan 24, 2022
- Sex
- Male
- 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 | NU | Primary |
Addresses
Primary practice location
7987 Ashton Ave
Manassas, VA 20109
Mailing address
7450 Heritage Village PLZ Unit 101
Gainesville, VA 20155-3091
Phone (571) 991-1268
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.therapyforchangeva.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7969 Ashton Ave
Manassas, VA 20109-2885
Phone (703) 792-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prince William County Community Services Board | Current | Accepting new patients | |
| Prince William County | Current | Accepting new patients | |
| Gainesville Professional Counseling Center | Past | Accepting new patients |
Locations
7969 Ashton Ave
Manassas, VA 20109
Phone (703) 792-7826
14011 Worth Ave
Ste 110
Woodbridge, VA 22192
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manassas, VA
- NPI 1053402800
-
dba Prince William County Department of Fire and Rescue
- Ambulance
- Prince William, VA
- NPI 1235437385
-
- Professional Counselor
- Gainesville, VA
- NPI 1427386929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1487242855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7450 HERITAGE VILLAGE PLZ UNIT 101",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553091",
"telephone_number": "571-991-1268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7987 ASHTON AVE",
"city": "MANASSAS",
"state": "VA",
"postal_code": "20109",
"telephone_number": "571-200-6980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFIN",
"first_name": "SHARIFF",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-01",
"last_updated": "2022-01-24",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.therapyforchangeva.com",
"affiliation": "N",
"address_1": "9480 Main St # 1049",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220314032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manassas, VA
- Bethany Roslyn Rubinstein, M.S.
- Ruby Ann E Bisson, DMD, PC
- Jennifer Duncan Ruckner, MS CCC-SLP
- Adrian Michal Rudiak, DDS
- Evelyn Anna Ruelaz, M.D.
- Angela Ann Russell Floyd
- Stephanie Marie Rutherford, FNP-C
- Kimberley Dawn Ryan, FNP
- Jeane Marie Ryder, ATC
- S. Kalim Hussaini, DDS, PLLC (Smileworks Orthodontics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.