Unlock Your Inner Wisdom Therapy Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

UNLOCK YOUR INNER WISDOM THERAPY CENTER LLC

Practice address

35533 Hudson St
Round Hill, VA 20141-4445

Phone

(571) 420-3247

NPI assigned

Oct 15, 2024

Organization subpart

No

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

Authorized official

Name

Benedicte Libibe, LCSWNPI 1568210094

Title

Owner

Phone

(571) 420-3247

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benedicte Bobane Libibe, LCSW

  • Clinical Social Worker
  • Round Hill, VA
  • NPI 1568210094
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1669292579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35533 HUDSON ST",
            "city": "ROUND HILL",
            "state": "VA",
            "postal_code": "201414445",
            "telephone_number": "571-420-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35533 HUDSON ST",
            "city": "ROUND HILL",
            "state": "VA",
            "postal_code": "201414445",
            "telephone_number": "571-420-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLOCK YOUR INNER WISDOM THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "LIBIBE",
        "authorized_official_first_name": "BENEDICTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-420-3247",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan D Sparks
• Jeremy Steglitz, PHD
• Hayden Jane Sutherland
• Jessica Sypolt, IBCLC, RLC
• Christine Welch Toocheck, LPC
• Kelly Zielinski

• Clinical Social Worker in Round Hill, VA
• Providers in Round Hill, 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 Nov 7, 2024; 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.