Ginkgo Care LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GINKGO CARE LLC

Practice address

13777 Musket CT
Woodbridge, VA 22193-4425

Phone

(703) 409-9796

NPI assigned

Mar 12, 2024

Organization subpart

No

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

Authorized official

Name

Shawn Pham, MSW, LCSWNPI 1346805025

Title

Social Worker

Phone

(301) 960-8430

Specialties & licenses 1

Addresses

Practitioners 1

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

• Shawn Ngoc Pham, MSW, LCSW

  • Clinical Social Worker
  • Woodbridge, VA
  • NPI 1346805025
  NPD Authorized official

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1740048990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13777 MUSKET CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934425",
            "telephone_number": "703-409-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13777 MUSKET CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934425",
            "telephone_number": "703-409-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINKGO CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "301-960-8430",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Cecilia Gilliam, LCSW
• Tupper D Gillie Sr., DPT
• Katharine Mary Gilligan, RPH.
• Jasmine Nakida Gillison, LPC
• Gina C Pham DDS PC
• Emily N Girard, M.A. LPC
• John Girton Jr., MS, ATC, CSCS
• Sophia Mekuria Gizaw, NP
• Glen View Care
• Global Application Brands

• Clinical Social Worker in Woodbridge, VA
• Providers in Woodbridge, 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 Mar 12, 2024; 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.