MS. MARY BRANCH GROVE (NPI# 1295936060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295936060 |
| Entity Type | Individual |
| Full Name | MS. MARY BRANCH GROVE |
| Credential | LCSW |
| Practice Address |
2112 Gallows Rd Ste C1 Vienna VA 22182-3963 |
| Practice Telephone | 7034427735 |
| Mailing Telephone | 7034427735 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2016-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904003011 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710112933 | Mary A Grove | Nurse Practitioner | 1215 21st Ave S # Mce, North Tower, Suite 5290 Attn: Janice Nicholas, Nashville, TN 37232-0014 | 2009-05-18 |
| 1043648694 | Mary Robin Grove | Counselor | 310 Paper Trail Way, 106, Canton, GA 30115-5203 | 2013-10-17 |
| 1689681819 | Mary Elizabeth Grove | Physical Therapist | 1223 Swan Dr, Bartlesville, OK 74006-5037 | 2006-08-01 |
| 1730141136 | Mary Morrison Grove | Psychologist | 150 Emerson Ave E, Suite 100, Saint Paul, MN 55118-2535 | 2006-04-03 |
| Street Address |
2112 GALLOWS RD STE C1 |
| City | VIENNA |
| State | VA |
| Zip Code | 22182-3963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1063930816 | Hira Sarwar | Speech-Language Pathologist | 8229 Boone Blvd Suite 660, Vienna, VA 22182 | 2017-08-31 |
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1578923165 | Nina Sanjay Vani | Physical Therapist | 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182 | 2016-02-25 |
| 1023489119 | Camille Eunice Abelardo | Physical Therapist | 8206 Leesburg Pike Ste 403, Vienna, VA 22182 | 2015-10-14 |
| 1770954075 | Meghan Macneil | Technician, Other | 2106 Gallows Road Suite E, Vienna, VA 22182 | 2015-10-13 |
| 1215306915 | Mauricio Colomo | Dentist | 8304-c Old Corthouse Rd, Tyson'scorner Dental Art Center, Vienna, VA 22182 | 2015-09-23 |
| 1992133037 | Pediatric Therapy Studio | Speech-Language Pathologist | 8227 Old - Courthouse Rd #115, Vienna, VA 22182 | 2013-10-29 |
| Find all providers in zip 22182 | ||||
| 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 |
| Find all providers in VIENNA | ||||
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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.