Susan E. Folwell, LCSW, LICSW, BCDV

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007062 Issued in VA

Practice address

10721 Main St Ste 2350
Fairfax, VA 22030-6913

Phone

(703) 591-5912

Fax

(703) 591-7210

NPI assigned

Feb 17, 2009

Last updated

Oct 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chase Psychological Resources, Inc.

  • Clinical Psychologist
  • Fairfax, VA
  • NPI 1063696466
  NPD (past)

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1558500306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE 2350",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306913",
            "telephone_number": "703-591-5912",
            "fax_number": "703-591-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE 2350",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306913",
            "telephone_number": "703-591-5912",
            "fax_number": "703-591-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLWELL",
        "first_name": "SUSAN",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LCSW, LICSW, BCDV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007062",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078739",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECROSS BLUESHIELD",
            "identifier": "B524",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Michael Fogarty, M.D.
• Tara Elizabeth Fogle, DC
• Maura P Foley, M.D.
• Brianna Folkl, LPC
• Grace Ann Foltz, MS, RDN
• Carolyn Fonseca
• Foot and Ankle Specialists of the Mid-Atlantic LLC
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Lillian Foote
• For Eyes Optical of PA (For Eyes)

• Clinical Social Worker in Fairfax, VA
• Providers in Fairfax, 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 Oct 15, 2010; 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.