Clinical Therapy Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0904003799 Issued in VA

Legal business name

CLINICAL THERAPY SERVICES

Practice address

9405 Larkdale Ter
Fairfax Station, VA 22039-3136

Phone

(703) 581-7863

NPI assigned

Mar 16, 2015

Organization subpart

No

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

Authorized official

Name

Shirley Francis Williams X, LCSW-C,

Title

Indipendent Clinical Social Worker

Phone

(703) 581-7863

Specialties & licenses 3

Addresses

Practitioners 1

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

• Shirley Minerva Williams, LICSW

  • Clinical Social Worker
  • Fairfax, VA
  • NPI 1801952759
  NPD (past)

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1790178713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 LARKDALE TER",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220393136",
            "telephone_number": "703-581-7863",
            "fax_number": "703-581-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 LARKDALE TER",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220393136",
            "telephone_number": "703-581-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "INDIPENDENT CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "703-581-7863",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "LCSW-C,"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904003799",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "10522",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "LC303400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cherry, NP
• Christine F. Chalk
• Jeanne Gravois Chutuape, PMHNP
• Clementine Twin Lakes, LLC
• Clifton Station LLC
• Stephen R Connor, PHD
• Ellen M Courtney
• Marjorie Guerrero Cruz, RN
• Deana Demare Hally
• Patricia Diefenbach, ND, CNS, CPT

• Community/Behavioral Health Agency in Fairfax Station, VA
• Providers in Fairfax Station, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.