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DR. SAGE ANNALEISE BOLTE PHD LCSW OSW-C NPI 1669716015


NPI Information

NPI: 1669716015
Provider Name: DR. SAGE ANNALEISE BOLTE, PHD, LCSW, OSW-C
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
12821 TEWKSBURY DR
HERNDON, VA
ZIP 20171
Phone: (703) 403-2120
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DR. Sage Annaleise Bolte, PHD, LCSW, OSW-C 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. DR. Sage Annaleise Bolte, PHD, LCSW, OSW-C NPI is 1669716015. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12821 TEWKSBURY DR
HERNDON, VA
ZIP 20171-428
Phone: (703) 403-2120

The NPI 1669716015 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 11/23/2012 and was last updated on 11/23/2012.


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
11041C0700XSocial WorkerClinical0904006107VIRGINIAYes

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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