NPIMap

Organization Active NPI

Seasons of Hope Center for Grief, Loss and Transition

  • Clinical Social Worker
  • Woodbridge, VA
National Provider Identifier
1912269812
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004475 Issued in VA
Legal business name
SEASONS OF HOPE CENTER FOR GRIEF, LOSS AND TRANSITION
Practice address
2805 Mount Airy CT
Woodbridge, VA 22192-1208
Phone
(703) 283-6307
Fax
(703) 492-1938
NPI assigned
Jun 15, 2012
Last updated
Jun 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Mrs. Laurie A Weiss-Braunstein, L.C.S.W.NPI 1215227400
Title
Clinical Program Director
Phone
(703) 447-8056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904004475 VA Primary
Clinical Social Worker 1041C0700X 05632 MD

Addresses

Primary practice location

2805 Mount Airy CT
Woodbridge, VA 22192-1208

Mailing address

2805 Mt. Airy CT.
Woodbridge, VA 22192-1208
Phone (703) 283-6307

Other identifiers 1

IdentifierTypeStateIssuer
2012034019MedicaidVA

National Provider Directory

National Provider Directory

Locations

14059 Crown Ct
Woodbridge, VA 22193
Phone (571) 368-6871

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1912269812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 MT. AIRY CT.",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921208",
            "telephone_number": "703-283-6307",
            "fax_number": "703-492-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 MOUNT AIRY CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921208",
            "telephone_number": "703-283-6307",
            "fax_number": "703-492-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS OF HOPE CENTER FOR GRIEF, LOSS AND TRANSITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "WEISS-BRAUNSTEIN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "703-447-8056",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004475",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05632",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012034019",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.