Olivia Yellen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013503 Issued in VA

Practice address

2323 Harleyford CT
Reston, VA 20191-2740

Phone

(407) 808-1835

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empower and Grow LLC

  • Clinical Social Worker
  • Reston, VA
  • NPI 1841068483
  NPD Authorized official

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1487320479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 GROVE ST STE 145",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704791",
            "telephone_number": "703-996-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 HARLEYFORD CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201912740",
            "telephone_number": "407-808-1835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 N Washington St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220464517",
            "country_code": "US",
            "telephone_number": "703-942-9745",
            "fax_number": "757-585-4466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YELLEN",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013503",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Lynne Wright
• Kellan Wright
• Michelle Wu
• Amanda Yacoub
• Gary Yang
• Baris Yildirim, M.D.
• Wing Y Yip, PHARM.D.
• Korey Yngstrom
• Seung J Yo, MD
• Sarah Yoder, OTR/L

• Clinical Social Worker in Reston, VA
• Providers in Reston, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.