Commonwealth Mental Health Assoc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COMMONWEALTH MENTAL HEALTH ASSOC

Practice address

8322 D Traford Lane
Springfield, VA 22152

Phone

(703) 913-3503

Fax

(703) 913-1193

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark Anthony Rutkowski, LCSW

Title

President

Phone

(703) 569-2168

Specialties & licenses 1

Addresses

Tax ID family

Commonwealth Mental Health Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Commonwealth Mental Healyh Associates

  • Mental Health Counselor
  • Springfield, VA
  • NPI 1194842831
  NPD tax ID

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679796239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 D TRAFORD LANE",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22152",
            "telephone_number": "703-913-3503",
            "fax_number": "703-913-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 D TRAFORD LANE",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22152",
            "telephone_number": "703-913-3503",
            "fax_number": "703-913-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH MENTAL HEALTH ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RUTKOWSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-569-2168",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collaborative Community LLC
• Collins Chiropractic, LLC
• Terry Lynn Collins, MS CCC SLP
• Traci L Colodner, LCSW
• Casey Commerce, RBT
• Commonwealth Mental Healyh Associates
• Community Adult Care
• Community Residences, Inc.
• Community Systems, Inc.
• Compassion Health Source, Inc

• Clinical Social Worker in Springfield, VA
• Providers in Springfield, 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 Jul 21, 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.