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ADOLESCENT AND FAMILY GROWTH CENTER INC. NPI 1295875375


NPI Information

NPI: 1295875375
Provider Name: ADOLESCENT AND FAMILY GROWTH CENTER, INC.
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
8000 FORBES PL
SUITE 201
SPRINGFIELD, VA
ZIP 22151
Phone: (703) 425-9200
Get Directions

ADOLESCENT AND FAMILY GROWTH CENTER, INC. is a clinical social worker in Springfield, 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. ADOLESCENT AND FAMILY GROWTH CENTER, INC. NPI is 1295875375. The provider is registered as an organization entity type.

The provider's business location address is:

8000 FORBES PL
SUITE 201
SPRINGFIELD, VA
ZIP 22151-200
Phone: (703) 425-9200
Fax: (703) 425-9206

The provider's authorized official is Jermaine H. Johnson .
The authorized official title is Executive Director and has the following contact phone number (703) 425-9200.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 8/2/2012.


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
1251S00000XCommunity/Behavioral Health24203001VIRGINIANo
2106H00000XMarriage & Family TherapistNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
41041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000200191MEDICAIDVIRGINIA

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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