William Jin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010128 Issued in VA

Practice address

8239 Gregory Dr
Alexandria, VA 22309-1830

Phone

(703) 799-7365

NPI assigned

Dec 11, 2017

Last updated

Dec 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1942715008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10671 OAK THRUSH CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8239 GREGORY DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223091830",
            "telephone_number": "703-799-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "WILLIAM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Jillard, BCBA
• Jim Lee DDS PC
• Patricia Jean Jimenez
• Chongfei Jin, M.D.
• Hyun Jeong Jin, ACAGNP-BC
• Anjuli Sara Jindal, M.D.
• Jing Guo, O.D. P.C.
• Panisa Virginia Jiumdumneankij
• Jessie Joachim, LPC, LCPC
• Joan Boes

• 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 11, 2017; 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.