DR. SAGE ANNALEISE BOLTE (NPI# 1669716015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669716015 |
| Entity Type | Individual |
| Full Name | DR. SAGE ANNALEISE BOLTE |
| Other Name | SAGE ANNALEISE BOLTE-MULLEN |
| Credential | PHD, LCSW, OSW-C |
| Practice Address |
12821 Tewksbury Dr Herndon VA 20171-2428 |
| Practice Telephone | 7034032120 |
| Mailing Telephone | 7034032120 |
| Enumeration Date | 2012-11-23 |
| Last Update Date | 2012-11-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904006107 | VA | Behavioral Health & Social Service Providers |
| Street Address |
12821 TEWKSBURY DR |
| City | HERNDON |
| State | VA |
| Zip Code | 20171-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587312 | Herndon Modern Dentistry, PC | Dentist | 2537 John Milton Dr., Reston, VA 20171 | 2020-01-20 |
| 1689196529 | Susan Ngatia | Occupational Therapist | 2978 Centerville Rd., Herndon, VA 20171 | 2017-07-12 |
| 1932634375 | Angelic Home Care,llc | Home Health | 13800 Coppermine Road, Suite 175, Herndon, VA 20171 | 2017-04-24 |
| 1952855348 | Attentive Home Care Inc | Registered Nurse | 13578 Cedar Run Ln, Herndon, VA 20171 | 2016-08-15 |
| 1336531391 | Daniela Maria Querubin Mesina | Physical Therapist | 2978 Centreville Rd, Herndon, VA 20171 | 2015-02-28 |
| 1740602291 | Herndon Dental Arts At Woodland Park, Pllc | Dentist | 12973 Highland Crossing Drive, Ste B, Herndon, VA 20171 | 2014-01-16 |
| 1295165801 | Grace Greenan | Counselor | 13600 Frying Pan Road, Herndon, VA 20171 | 2013-11-18 |
| 1356770390 | Eunjoo Lee | Behavioral Analyst | 12936 Cedar Glen Lane, Herndon, VA 20171 | 2013-11-08 |
| 1043539919 | Wesam Hassen Moustafa Hussein | Internal Medicine | 13326 Horsepen Woods Lane, Herndon, VA 20171 | 2010-05-18 |
| 1740516996 | Fadi Alhrashi | Dentist | 13609 Flying Squirrel Dr, Herndon, VA 20171 | 2009-10-22 |
| Find all providers in zip 20171 | ||||
| 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 |
|---|---|---|---|---|
| 1871121152 | Chelsea Claire Hall | Social Worker | 1051 Lexus Way, Herndon, VA 20170-4127 | 2020-03-31 |
| 1629549332 | Seth Edward Allen | Social Worker | 13521 Davinci Ln, Herndon, VA 20171-6104 | 2018-12-07 |
| 1023507654 | Cynthia Jane Rogers | Social Worker | 435a Carlisle Dr Ste 104, Herndon, VA 20170-4802 | 2018-05-09 |
| 1841736956 | Julian Badawy | Social Worker | 425 Carlisle Drive, Herndon, VA 20170 | 2017-01-12 |
| 1194279232 | Alexandre Fleche | Social Worker | 12901 Alton Sq, #303, Herndon, VA 20170-5895 | 2016-08-05 |
| 1346631975 | Melanie Kantor | Social Worker | 481 Carlisle Dr Ste D1, Herndon, VA 20170-4882 | 2015-02-18 |
| 1134527930 | Michelle Cades-loggia | Social Worker | 13457 Cobra Ct, Herndon, VA 20171-4044 | 2014-12-10 |
| 1285926824 | Marc Howard Linovitz | Social Worker | 2518 Oakhampton Pl, Herndon, VA 20171-2705 | 2011-05-13 |
| 1306172077 | Rachel John Cherian I | Social Worker | 12019 Sugarland Valley Dr, Herndon, VA 20170-2604 | 2009-10-30 |
| 1760643845 | Karla Epes Fife | Social Worker | 601 Worchester St, Herndon, VA 20170-3140 | 2008-06-20 |
| Find all providers in HERNDON | ||||
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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.