Organization Active NPI

Family Therapy Associates of Alexandria Inc

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1770640237
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003016 Issued in VA
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.