Lea Aimee Gaffen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006582 Issued in VA

Practice address

1907 Highway A1A Apt 403
Indian Harbour Beach, FL 32937-3595

Phone

(703) 609-5559

NPI assigned

Jul 11, 2007

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)

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.

• Fairfax County, Virginia

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfax, VA
  • NPI 1154356244
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1497953483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 HIGHWAY A1A APT 403",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329373595",
            "telephone_number": "703-609-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 HIGHWAY A1A APT 403",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329373595",
            "telephone_number": "703-609-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFEN",
        "first_name": "LEA",
        "middle_name": "AIMEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "VA",
            "license": "PPS-0600408",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Fife, DMD
• Five Star Rehabilitation and Wellness Services, LLC.
• David Henry Flett, LMHC
• Florida Therapy Center of Indian Harbour Beach, LLC
• Frances Addeo, D.C.
• Joseph Gallagher
• Sean Gloddy
• Trevor Frederick Markus Gravel, MA
• Tammy L Green, OTR
• Andrew George Grossman, MD

• Clinical Social Worker in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.