Organization Active NPI

Laurie a. Weiss-Braunstein, LCSW,LLC

  • Community/Behavioral Health Agency
  • Centreville, VA
National Provider Identifier
1609296078
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0904004475 Issued in VA
Legal business name
LAURIE A. WEISS-BRAUNSTEIN, LCSW,LLC
Practice address
5675 Stone Rd
Suite 210
Centreville, VA 20120-1667
Phone
(703) 447-8056
NPI assigned
Apr 23, 2014
Last updated
Apr 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Mrs. Laurie Ann Weiss-Braunstein, L.C.S.W.NPI 1215227400
Title
Social Worker
Phone
(703) 447-8056

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0904004475 VA Primary

Addresses

Primary practice location

5675 Stone Rd
Suite 210
Centreville, VA 20120-1667

Mailing address

14345 Brookmere Dr
Centreville, VA 20120-4106
Phone (703) 447-8056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160302000793 DC Part B Supplier - Clinic/Group Practice 5193948727 Receives reassigned benefits from 1 practitioner
Practice locations: Centreville, VA

National Provider Directory

National Provider Directory

Locations

5675 Stone Rd
Ste 210
Centreville, VA 20120
Phone (703) 220-0107

10900 University Blvd
Manassas, VA 20110
Phone (703) 447-8056

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1609296078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14345 BROOKMERE DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201204106",
            "telephone_number": "703-447-8056",
            "fax_number": "703-993-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 STONE RD",
            "address_2": "SUITE 210",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201667",
            "telephone_number": "703-447-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE A. WEISS-BRAUNSTEIN, LCSW,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "WEISS-BRAUNSTEIN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "703-447-8056",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904004475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.