Alexandria Place Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006327 Issued in VA

Legal business name

ALEXANDRIA PLACE THERAPY, LLC

Practice address

108A S Columbus St
Alexandria, VA 22314-3051

Phone

(703) 963-4261

NPI assigned

Dec 2, 2012

Last updated

Dec 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Jalazo Halpern, LCSW, RPTNPI 1306928726

Title

Owner, Therapist

Phone

(202) 253-7503

Specialties & licenses 2

Addresses

Locations

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.

• Nicole Jalazo Halpern, LCSW, RPT

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1306928726
  Authorized official Same address or phone

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

{
    "created_epoch": "1354406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354406400000",
    "number": "1942545942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108A S COLUMBUS ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143051",
            "telephone_number": "703-963-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108A S COLUMBUS ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143051",
            "telephone_number": "703-963-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIA PLACE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-02",
        "last_updated": "2012-12-02",
        "status": "A",
        "authorized_official_last_name": "HALPERN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "JALAZO",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "202-253-7503",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, RPT"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004171",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Pain & Rehabilitation Center,LLC
• Alexandria Pathology Associates, P.C.
• Alexandria Pediatric Dentistry, PLC
• Alexandria Perinatal Diagnostic Center
• Alexandria Physical Therapy LLC,
• Alexandria Smile Dentistry, PC
• Alexandria SNF Operations LLC (Alexandria Health & Rehabilitation)
• Alexandria Sports Inc (Select Physical Therapy)
• Alexandria Sports, Inc. (Select Physical Therapy)
• Alexandria Sports, Inc. (Select Physical Therapy)

• 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 Dec 2, 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.