Susan Bookfor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009103 Issued in VA

Practice address

5016 Ridgewood Rd
Alexandria, VA 22312-2221

Phone

(703) 250-0258

Fax

(815) 550-1718

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Susie Bookfor Other name

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling by the Creek

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1164966115
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1871658781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 RIDGEWOOD RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122221",
            "telephone_number": "703-750-0258",
            "fax_number": "815-550-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 RIDGEWOOD RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122221",
            "telephone_number": "703-250-0258",
            "fax_number": "815-550-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKFOR",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014569",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSIE",
            "last_name": "BOOKFOR",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erwinn A Bondareff, MD
• Ana Beatriz Bonilla Burgos
• Ana G Bonilla, LCSW
• Eliza Cecily Bonilla, MSW
• Judith Ann Booker, LPC
• Christopher Bookout
• Wachiraboon Boonyaruttapun, CMT
• Cally Boothe, OTR
• Sara Boothe
• Kayla Bordet

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, 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 Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.