ELAINE P. BOOMER PC (NPI# 1285955021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285955021 |
| Entity Type | Organization |
| Organization Name | ELAINE P. BOOMER PC |
| Practice Address |
501 Church St Ne Suite 206 Vienna VA 22180-4734 |
| Practice Telephone | 7032552208 |
| Practice Fax Number | 7032552482 |
| Mailing Telephone | 7032552208 |
| Mailing Fax Number | 7032552482 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |
| Authorized Official Name | MS. ELAINE P BOOMER (PRESIDENT) |
| Authorized Official Telephone | 7032552208 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904003838 | VA | Behavioral Health & Social Service Providers |
| Street Address |
501 CHURCH ST NE SUITE 206 |
| City | VIENNA |
| State | VA |
| Zip Code | 22180-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487674065 | Susan Branco-rodriguez | Counselor | 501 Church St Ne, Vienna, VA 22180-4734 | 2006-07-19 |
| 1750825337 | Grace Elizabeth Gray | Social Worker | 501 Church St Ne, Suite 207, Vienna, VA 22180-4734 | 2016-12-15 |
| 1205171535 | Yoon Shin | Physical Therapist | 501 Church St Ne, Ste 105, Vienna, VA 22180-4734 | 2012-11-27 |
| 1073864005 | Timothy George Zelch | Physical Therapist | 501 Church St Ne, Ste 105, Vienna, VA 22180-4734 | 2012-10-01 |
| 1427317866 | Kimberly S Harrell | Counselor | 501 Church St Ne, Ste. 209, Vienna, VA 22180-4734 | 2012-05-04 |
| 1609001072 | Samantha Alyse Shlakman | Psychiatry & Neurology | 501 Church St Ne, Suite 217, Vienna, VA 22180-4734 | 2009-05-28 |
| 1003085457 | Taylor A Waters | Physical Therapist | 501 Church St Ne, Ste 105, Vienna, VA 22180-4734 | 2008-02-29 |
| 1104969864 | Lois Greenberg Hartman | Counselor | 501 Church St Ne, Suite 209, Vienna, VA 22180-4734 | 2007-02-14 |
| 1861544355 | Marianne G.m. Heilferty | Social Worker | 501 Church St Ne, Suite 206, Vienna, VA 22180-4734 | 2007-01-17 |
| 1306905344 | Virginia Maria Huici | Counselor | 501 Church St Ne, Suite # 206, Vienna, VA 22180-4734 | 2006-12-06 |
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|---|---|---|---|---|
| 1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
| Find all providers in zip 22180 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730665456 | Amy Klass Coyle | Social Worker | 8402 Berea Dr, Vienna, VA 22180-7103 | 2018-07-16 |
| 1245732494 | Melaney Cox | Social Worker | 115 Beulah Rd Ne Ste 200b, Vienna, VA 22180-4780 | 2018-03-04 |
| 1528570413 | Christa Jeutter Davidson | Social Worker | 127 Park St Ne, Vienna, VA 22180-4602 | 2017-10-31 |
| 1265885016 | Resa Roberie Combs | Social Worker | 2725 Pembsly Dr, Vienna, VA 22181-6157 | 2016-07-18 |
| 1841688074 | Stephanie Herman | Social Worker | 207 Cherry St Sw, Vienna, VA 22180-5703 | 2014-12-22 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1790122737 | Amber L Miller | Social Worker | 408 Park St Se, Vienna, VA 22180-5805 | 2013-05-31 |
| 1073851861 | Peter Steinberg | Social Worker | 8130 Boone Blvd Ste 250, Vienna, VA 22182-2640 | 2013-01-29 |
| 1508110230 | Maura Ann Levesque | Social Worker | 2225 Carmichael Dr, Vienna, VA 22181-3222 | 2012-11-02 |
| 1053681288 | Sarah Hagen | Social Worker | 129 Park St Ne Ste 10a, Vienna, VA 22180-4606 | 2012-01-04 |
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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.