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PROSPERITY EATING DISORDER AND WELLNESS NPI 1043613474


NPI Information

NPI: 1043613474
Provider Name: PROSPERITY EATING DISORDER AND WELLNESS
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1031 STERLING RD
SUITE 203
HERNDON, VA
ZIP 20170
Phone: (703) 466-5150
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PROSPERITY EATING DISORDER AND WELLNESS is a clinical social worker in Herndon, VA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. PROSPERITY EATING DISORDER AND WELLNESS NPI is 1043613474. The provider is registered as an organization entity type.

The provider's business location address is:

1031 STERLING RD
SUITE 203
HERNDON, VA
ZIP 20170-865
Phone: (703) 466-5150
Fax: (703) 649-3557

The provider's authorized official is Heather Nelson Baker .
The authorized official title is Director and has the following contact phone number (703) 466-5150.

The enumeration date for this NPI number is 9/30/2014 and was last updated on 9/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
41041C0700XSocial WorkerClinical0904005419VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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