ADOLESCENT AND FAMILY GROWTH CENTER, INC. (NPI# 1295875375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295875375 |
| Entity Type | Organization |
| Organization Name | ADOLESCENT AND FAMILY GROWTH CENTER, INC. |
| Practice Address |
8000 Forbes Pl Suite 201 Springfield VA 22151-2200 |
| Practice Telephone | 7034259200 |
| Practice Fax Number | 7034259206 |
| Mailing Telephone | 7034259200 |
| Mailing Fax Number | 7034259206 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2012-08-02 |
| Authorized Official Name | JERMAINE H. JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7034259200 |
| Authorized Official Credential | MS, MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 24203001 | VA | Agencies |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 000200191 | 05 |
| Street Address |
8000 FORBES PL SUITE 201 |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22151-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902995467 | Kristin N Ong I | Marriage & Family Therapist | 8000 Forbes Pl, Springfield, VA 22151-2200 | 2006-10-12 |
| 1629355862 | Howard Jermaine Johnson | Marriage & Family Therapist | 8000 Forbes Pl, Springfield, VA 22151-2200 | 2011-11-15 |
| 1417183666 | Allyson M. Sipes | Psychologist | 8000 Forbes Pl, Suite 201, Springfield, VA 22151-2200 | 2009-06-02 |
| 1053401364 | Randall Christopher O'toole | Social Worker | 8000 Forbes Pl, Suite #210, Springfield, VA 22151-2200 | 2006-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499849 | Aan Healthcare Services Inc. | Home Health | 6820 Commercial Dr, Ste D, Springfield, VA 22151 | 2020-02-14 |
| 1073093563 | Joy Home Health Care, LLC | Home Health | 6820 Commercial Drive, Suite #14, Springfield, VA 22151 | 2018-08-15 |
| 1457842676 | Community Concepts, Inc. | Behavioral Analyst | 9001 Braddock Rd Ste 220, Springfield, VA 22151 | 2018-05-23 |
| 1245741172 | Abf Home Healthcare Services, LLC | Nursing Care | 6820 Commercial Drive Suite D, Springfield, VA 22151 | 2017-10-18 |
| 1720597834 | Katelyn E Prue | Behavioral Analyst | 5414 Backlick Road, C, Springfield, VA 22151 | 2017-09-21 |
| 1144763806 | Marcus Rein | Physical Therapist | 6805 Industrial Rd, Springfield, VA 22151 | 2016-11-29 |
| 1760843676 | Pablo Enrique Moro | Counselor | 5415-c Backlick Rd, Springfield, VA 22151 | 2016-03-19 |
| 1780938332 | Leticia Duah | Registered Nurse | 8551 Newington Forest Court, Springfield, VA 22151 | 2012-11-05 |
| 1760624613 | Georges Traboulsi | Dentist | 5419 Backlick Rd., C, Springfield, VA 22151 | 2009-03-24 |
| 1952563033 | Nhu-anh Nguyen | Pharmacist | 5424 Backlick Road, Springfield, VA 22151 | 2008-06-30 |
| Find all providers in zip 22151 | ||||
| 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 |
|---|---|---|---|---|
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1194337022 | Loretta E. Buckwalter | Social Worker | 4401 Ridgewood Rd W, Springfield, OH 45503-6131 | 2020-08-21 |
| 1710596572 | Nichol Speciale | Social Worker | 3700 Kerry Blvd, Springfield, IL 62712-5858 | 2020-07-28 |
| 1124636162 | Sarah Ann Duffy | Social Worker | 6823 Floyd Ave, Springfield, VA 22150-2455 | 2020-07-15 |
| 1033736707 | Bernetta A Andrewin | Social Worker | 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 | 2020-06-29 |
| 1013530856 | Christina Margaret White | Social Worker | 224 Springcreek Dr, Springfield, IL 62702-3469 | 2020-05-27 |
| 1295357192 | Luminary Counseling and Solutions, LLC | Social Worker | 319 E Madison St Ste 2c, Springfield, IL 62701-3120 | 2020-05-13 |
| 1861014326 | Marvin Merriweather Jr. | Social Worker | 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 | 2020-05-07 |
| 1477182061 | Sean Edward Snyder | Social Worker | 578 Sheffield Dr, Springfield, PA 19064-2822 | 2020-04-06 |
| 1801429246 | David Aichroth Jr. | Social Worker | David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 | 2020-02-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22151 |
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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.