NPIMap

Organization Active NPI

Adolescent and Adult Service Providers

  • Clinical Social Worker
  • Woodbridge, VA
National Provider Identifier
1679931984
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ADOLESCENT AND ADULT SERVICE PROVIDERS
Practice address
14855 Buttonwood CT
Woodbridge, VA 22193-3365
Phone
(703) 670-2535
NPI assigned
Feb 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Authorized official

Name
Ms. Addie Whitaker, MSW
Title
Partner
Phone
(703) 670-2535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X VA Primary

Addresses

Primary practice location

14855 Buttonwood CT
Woodbridge, VA 22193-3365

Mailing address

14855 Buttonwood CT
Woodbridge, VA 22193-3365
Phone (703) 670-2535

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1679931984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14855 BUTTONWOOD CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933365",
            "telephone_number": "703-670-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 BUTTONWOOD CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933365",
            "telephone_number": "703-670-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLESCENT AND ADULT SERVICE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "ADDIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "703-670-2535",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.