Organization Active NPI

Still Waters Therapy LLC

  • Clinical Social Worker
  • The Plains, VA
National Provider Identifier
1770383572
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STILL WATERS THERAPY LLC
Practice address
4372 Old Tavern Rd.
The Plains, VA 20198
Phone
(540) 227-7896
NPI assigned
Mar 19, 2025
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Alexandra W MaddenNPI 1487042628
Title
Owner
Phone
(540) 227-7896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4372 Old Tavern Rd.
The Plains, VA 20198

Mailing address

5007 Leeds Manor Rd
Markham, VA 22643-1937
Phone (540) 227-7896

Other practice location 1

12 Margarets Way
Nantucket, MA 02554-4227
Phone (508) 901-1191

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1770383572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 LEEDS MANOR RD",
            "city": "MARKHAM",
            "state": "VA",
            "postal_code": "226431937",
            "telephone_number": "540-227-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4372 OLD TAVERN RD.",
            "city": "THE PLAINS",
            "state": "VA",
            "postal_code": "20198",
            "telephone_number": "540-227-7896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Margarets Way",
            "address_purpose": "LOCATION",
            "city": "Nantucket",
            "state": "MA",
            "postal_code": "025544227",
            "country_code": "US",
            "telephone_number": "508-901-1191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STILL WATERS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-227-7896"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Plains, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.