Individual provider Active NPI

Gloria Saez

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1689127524
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080965 Issued in DC
Practice address
505 Wythe St
Alexandria, VA 22314-1917
Phone
(702) 828-7159
NPI assigned
Jul 27, 2016
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3882C AL
Clinical Social Worker 1041C0700X 0904009738 VA
Clinical Social Worker 1041C0700X 26918 MD
Clinical Social Worker 1041C0700X 149025355 IL
Clinical Social Worker 1041C0700X LC50080965 DC Primary

Addresses

Primary practice location

505 Wythe St
Alexandria, VA 22314-1917

Mailing address

105 Kerby Pkwy
Ft Washington, MD 20744-4737
Phone (703) 828-7159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3882CALMDClinical Social Worker
LC50080965DCMDClinical Social Worker
149025355ILMDClinical Social Worker
26918MDMDClinical Social Worker
0904009738VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Salus Vita CurrentSince Mar 26, 2023 Accepting new patients

Locations

505 Wythe St
Alexandria, VA 22314
Phone (703) 828-7159

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1689127524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KERBY PKWY",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207444737",
            "telephone_number": "703-828-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WYTHE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141917",
            "telephone_number": "702-828-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAEZ",
        "first_name": "GLORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3882C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009738",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26918",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149025355",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.