Shana-Dee L Jahrling, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0906008368 Issued in VA

Practice address

8500 Executive Park Ave Ste 204
Fairfax, VA 22031-2253

Phone

(703) 999-8713

Fax

(703) 876-8482

NPI assigned

May 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1831711803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43220 BECONTREE TER",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201484593",
            "telephone_number": "703-999-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 EXECUTIVE PARK AVE STE 204",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312253",
            "telephone_number": "703-999-8713",
            "fax_number": "703-876-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHRLING",
        "first_name": "SHANA-DEE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0906008368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "insteppc.com",
            "affiliation": "N",
            "address_1": "8500 Executive Park Ave Ste 204",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220312253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Fairfax, VA
• Providers in Fairfax, 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 May 13, 2020; 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.