Active NPI
Family Therapy Associates of Alexandria Inc
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1770640237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904003016
- Legal business name
- FAMILY THERAPY ASSOCIATES OF ALEXANDRIA INC
- Practice address
- 201 N Fairfax St
Suite 22
Alexandria, VA 22314-2639 - Phone
- (703) 837-8808
- Fax
- (703) 837-8805
- NPI assigned
- Jan 3, 2007
- Last updated
- Aug 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Kevin Fahey
- Title
- Vice President - Admin & Finance
- Phone
- (703) 837-8808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904003016 | VA | Primary |
Addresses
Primary practice location
201 N Fairfax St
Suite 22
Alexandria, VA 22314-2639
Mailing address
201 N Fairfax St
Suite 22
Alexandria, VA 22314-2639
Phone (703) 837-8808
National Provider Directory
National Provider DirectoryLocations
201 N Fairfax St
Ste 22
Alexandria, VA 22314
Phone (703) 837-8808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407369600000",
"number": "1770640237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N FAIRFAX ST",
"address_2": "SUITE 22",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142639",
"telephone_number": "703-837-8808",
"fax_number": "703-837-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N FAIRFAX ST",
"address_2": "SUITE 22",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142639",
"telephone_number": "703-837-8808",
"fax_number": "703-837-8805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY THERAPY ASSOCIATES OF ALEXANDRIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2014-08-07",
"status": "A",
"authorized_official_last_name": "FAHEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "KEVIN",
"authorized_official_title_or_position": "VICE PRESIDENT - ADMIN & FINANCE",
"authorized_official_telephone_number": "703-837-8808",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904003016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
- Family First Health Services LLC
- Family Medicine & Associates of Alexandria PC
- Family Pharmacy, Inc (The Pharmacy in Alexandria)
- Family Psychiatraic Associates
- Family Speech and Language, LLC
- Alyssa Fanelli, CRNA
- Bethan Clare Fanning, MD
- Andrew A Fanous, M.D.
- Chantal Emile Farah, PHARM D
- Roxane Farahi Far, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.