ALISON SULLIVAN LCSW, LLC (NPI# 1053605766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053605766 |
Entity Type | Organization |
Organization Name | ALISON SULLIVAN LCSW, LLC |
Practice Address |
1011 Princess Anne St Suite B Fredericksburg VA 22401-3835 |
Practice Telephone | 5409070991 |
Practice Fax Number | 5408993711 |
Mailing Telephone | 5409070991 |
Mailing Fax Number | 5408993711 |
Enumeration Date | 2011-05-31 |
Last Update Date | 2011-05-31 |
Authorized Official Name | ALISON ANNE SULLIVAN (OWNER) |
Authorized Official Telephone | 5409070991 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 0904007615 | VA | Agencies |
Street Address |
1011 PRINCESS ANNE ST SUITE B |
City | FREDERICKSBURG |
State | VA |
Zip Code | 22401-3835 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154611333 | Alison Anne Sullivan | Social Worker | 1011 Princess Anne St, Suite B, Fredericksburg, VA 22401-3835 | 2011-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
Find all providers in zip 22401 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376104448 | Online Counseling Services of Virginia, LLC | Community/Behavioral Health | 22 Enchanted Oak Dr, Fredericksburg, VA 22405-5792 | 2019-06-27 |
1013400233 | Second Chances Comprehensive Services | Community/Behavioral Health | 4821 Carr Dr, Fredericksburg, VA 22408-2689 | 2018-06-12 |
1073001749 | Pathways To Life, Inc. | Community/Behavioral Health | 109 Olde Greenwich Dr Ste 101, Fredericksburg, VA 22408-4022 | 2018-04-27 |
1225417215 | Family Preservation Services, Inc | Community/Behavioral Health | 10304 Spotsylvania Ave, Suite 401, Fredericksburg, VA 22408-8602 | 2015-05-22 |
1295146868 | Family Preservation Services, Inc. | Community/Behavioral Health | 109 Olde Greenwich Dr, Suite 101, Fredericksburg, VA 22408-4022 | 2014-05-16 |
1992074108 | Family Preservation Services, Inc. | Community/Behavioral Health | 5995 Plank Rd, Fredericksburg, VA 22407-6231 | 2011-12-16 |
1275802480 | Family Preservation Services, Inc. | Community/Behavioral Health | 5620 Smith Station Rd, Fredericksburg, VA 22407-9311 | 2011-12-16 |
1457620668 | Family Preservation Services, Inc. | Community/Behavioral Health | 7320 Smith Station Rd, Fredericksburg, VA 22407-1738 | 2011-12-16 |
1013286483 | Family Preservation Services, Inc | Community/Behavioral Health | 3600 Lee Hill Drive, Fredericksburg, VA 22408 | 2011-12-14 |
1740565993 | Family Preservation Services, Inc | Community/Behavioral Health | 6230 Harrison Rd, Fredericksburg, VA 22407-6364 | 2011-10-19 |
Find all providers in FREDERICKSBURG |
City | FREDERICKSBURG |
Zip Code | 22401 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.