GRAE WORTHINGTON (NPI# 1821515552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821515552 |
| Entity Type | Individual |
| Full Name | GRAE WORTHINGTON |
| Practice Address |
3611 Chain Bridge Rd Ste C Fairfax VA 22030-3246 |
| Mailing Address |
11609 Helmont Dr Oakton VA 22124-1219 |
| Practice Telephone | 7033809045 |
| Mailing Telephone | 7037723920 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3611 CHAIN BRIDGE RD STE C |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-3246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790919413 | Still Pointe Counseling & Consulting LLC | Counselor | 3611 Chain Bridge Rd Ste C, Fairfax, VA 22030-3246 | 2009-05-08 |
| 1588286538 | Alice Teresa Zic | Social Worker | 3611 Chain Bridge Rd Ste C, Fairfax, VA 22030-3246 | 2020-05-13 |
| 1134773823 | Kasey Reichard | Marriage & Family Therapist | 3611 Chain Bridge Rd Ste C, Fairfax, VA 22030-3246 | 2019-07-30 |
| 1023509221 | Maria Paige Frasso | Marriage & Family Therapist | 3611 Chain Bridge Rd Ste C, Fairfax, VA 22030-3246 | 2018-05-23 |
| 1285124909 | Jessica Arielle Comfort | Social Worker | 3611 Chain Bridge Rd Ste C, Fairfax, VA 22030-3246 | 2018-05-17 |
| 1467966416 | Karen Hahn Strider | Social Worker | 3611 Chain Bridge Rd Ste C, Fairfax, VA 22030-3246 | 2017-11-29 |
| 1730533647 | David Paul | Social Worker | 3611 Chain Bridge Rd Ste C, Fairfax, VA 22030-3246 | 2016-04-17 |
| 1588028930 | David Andrew Edwards | Counselor | 3611 Chain Bridge Rd Ste C, Fairfax, VA 22030-3246 | 2016-04-12 |
| 1487027850 | Denise Marcone | Social Worker | 3611 Chain Bridge Rd Ste C, Fairfax, VA 22030-3246 | 2015-11-08 |
| 1881078046 | Jacqueline Fonseca | Social Worker | 3611 Chain Bridge Rd Ste C, Fairfax, VA 22030-3246 | 2015-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161299 | Julie Embrey Bowman | Counselor | 3929 Old Lee Hwy Ste 92d, Fairfax, VA 22030-2421 | 2020-07-07 |
| 1588282685 | Keystone Therapy Group, LLC | Counselor | 10560 Main St Ste 511, Fairfax, VA 22030-7173 | 2020-07-06 |
| 1356977458 | Lauren Rivers | Counselor | 10650 Main St, Fairfax, VA 22030-3814 | 2020-03-20 |
| 1528694197 | Stephanie Renee Buchanan | Counselor | 8221 Willow Oaks Corporate Dr Ste 3-330k, Fairfax, VA 22031-4512 | 2020-03-16 |
| 1316579261 | Mari-elaine Triolo | Counselor | 8221 Willow Oaks Corporate Dr Ste 401, Fairfax, VA 22031-4512 | 2020-02-09 |
| 1902448251 | Fairfax Therapy Solutions LLC | Counselor | 9675 Main St Ste C, Fairfax, VA 22031-3762 | 2019-10-08 |
| 1790339513 | Lymaraina D'souza | Counselor | 3931 Tallow Tree Pl, Fairfax, VA 22033-2469 | 2019-07-30 |
| 1336709930 | Valerie Gayle Hadeed | Counselor | 3929 Old Lee Hwy Ste 92c, Fairfax, VA 22030-2421 | 2019-06-17 |
| 1487119707 | Abdelwahab Eltayeb Elsirag | Counselor | 12587 Fair Lakes Cir Ste 303, Fairfax, VA 22033-3822 | 2019-02-01 |
| 1558836825 | Monica Jongmin Lee | Counselor | 2850 Hideaway Rd, Fairfax, VA 22031-1331 | 2018-10-12 |
| Find all providers in FAIRFAX | ||||
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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.