Organization Active NPI

Ezra, Nehemiah and Solomon, Inc.

  • Clinical Social Worker
  • Dumfries, VA
National Provider Identifier
1881995611
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003313 Issued in VA
Legal business name
EZRA, NEHEMIAH AND SOLOMON, INC.
Practice address
3904 Lansing CT
Dumfries, VA 22026-2460
Phone
(703) 221-6600
Fax
(703) 221-4466
NPI assigned
Nov 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Ms. Fay Marshall Lesane, LCSW
Title
Clinical Director
Phone
(703) 221-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0904003313 VA Primary

Addresses

Primary practice location

3904 Lansing CT
Dumfries, VA 22026-2460

Mailing address

PO Box 1134
Dumfries, VA 22026-9134
Phone (703) 221-6600

Other identifiers 1

IdentifierTypeStateIssuer
008939152MedicaidVA

National Provider Directory

National Provider Directory

Locations

3904 Lansing Ct
Dumfries, VA 22026
Phone (703) 221-6600

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1881995611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1134",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220269134",
            "telephone_number": "703-221-6600",
            "fax_number": "703-221-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 LANSING CT",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262460",
            "telephone_number": "703-221-6600",
            "fax_number": "703-221-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZRA, NEHEMIAH AND SOLOMON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "LESANE",
        "authorized_official_first_name": "FAY",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "703-221-6600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008939152",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.