NPI 1295875375 · live from the CMS NPI Registry
Adolescent And Family Growth Center, INC.
Social Worker, Clinical in Springfield, VA. National Provider Identifier 1295875375, active.
NPI record
| NPI | 1295875375 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 8000 Forbes Pl, Suite 201, Springfield, VA 22151 |
| Practice phone | 703-425-9200 |
| Enumerated | February 7, 2007 |
| Last updated | August 2, 2012 |
| Authorized official | Jermaine Johnson, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Community/Behavioral Health | 251S00000X | 24203001 (VA) |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.