DR. ANTHONY M GULLO


Address: 8500 Executive Park Ave, Suite 200, Fairfax, VA 22031-2225
Phone: 7036985220

DR. ANTHONY M GULLO (NPI# 1932346046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932346046
Entity Type Individual
Full Name DR. ANTHONY M GULLO
Credential PHD, LCSW
Practice Address 8500 Executive Park Ave
Suite 200
Fairfax
VA 22031-2225
Mailing Address 8500 Executive Park Ave
Ste 200
Fairfax
VA 22031-2228
Practice Telephone 7036985220
Practice Fax Number 7035732351
Mailing Telephone 7036985220
Mailing Fax Number 7035732351
Enumeration Date 2009-01-12
Last Update Date 2016-08-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
0904000152 VA Behavioral Health & Social Service Providers

Office Location

Street Address 8500 EXECUTIVE PARK AVE
SUITE 200
City FAIRFAX
State VA
Zip Code 22031-2225

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346249026 Richard C Baither Psychologist 8500 Executive Park Ave, Suite 200, Fairfax, VA 22031-2225 2005-07-15
1073161964 Cristina Nayda Thurber Physician Assistant 8500 Executive Park Ave, Fairfax, VA 22031-2225 2019-09-03
1083113559 Kirsten E West Chiropractor 8500 Executive Park Ave, Fairfax, VA 22031-2225 2018-02-09
1770031916 Wynn Wellness Center LLC Chiropractor 8500 Executive Park Ave, Suite 308, Fairfax, VA 22031-2225 2016-09-16
1275934622 Autism Continuum Therapies LLC Behavioral Analyst 8500 Executive Park Ave, Suite 408, Fairfax, VA 22031-2225 2014-09-04
1740699537 Ronald Lieberman Social Worker 8500 Executive Park Ave, 204, Fairfax, VA 22031-2225 2014-08-06
1760811855 All Pro Dental Care Health Maintenance Organization 8500 Executive Park Ave, Suite 208, Fairfax, VA 22031-2225 2013-11-08
1134488398 Kelly Murphy Counselor 8500 Executive Park Ave, Fairfax, VA 22031-2225 2012-05-09
1093945727 Siddharth Bajpai Psychiatry & Neurology 8500 Executive Park Ave, Ste 200, Fairfax, VA 22031-2228 2009-07-15
1558518514 Irina Feodor Samuels Psychiatry & Neurology 8500 Executive Park Ave, Suite 200, Fairfax, VA 22031-2225 2008-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902414105 Su Jung Kang Dentist 9661-c Main Street, Fairfax, VA 22031 2020-07-14
1346896347 Fuling Guo Acupuncturist 3013 James St, Fairfax, VA 22031 2019-08-15
1902458797 Kayla Callister Psychologist 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 2019-07-11
1790349801 Fairfax Dental Esthetics Dentist 9621 Fairfax Blvd., Fairfax, VA 22031 2019-04-24
1417427675 Kathryn Yen Ho Speech-Language Pathologist 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 2018-11-30
1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
1316432669 Delta Pharm LLC Pharmacy 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 2018-06-28
1629567656 Laura Breeden Acupuncturist 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 2018-05-04
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285234021 Sabrina Kafin Weiskind Social Worker 13221 Point Pleasant Dr, Fairfax, VA 22033-3508 2020-10-30
1154920163 Vera D Daniel Social Worker 4110 Chain Bridge Rd Ste 316, Fairfax, VA 22030-4020 2020-10-21
1154931632 Brooke Varma Social Worker 2971 Lismore Ln, Fairfax, VA 22031-2138 2020-08-09
1922629179 Emily Tilman Social Worker 3524 Country Hill Dr, Fairfax, VA 22030-1818 2020-04-29
1790318236 Joyce L Montgomery Social Worker 10615 Judicial Dr Ste 103, Fairfax, VA 22030-7501 2020-02-12
1356972368 Minoo Pakdaman Social Worker 4290 Birney Ln, Fairfax, VA 22033-4333 2020-01-29
1790323467 Dorine Ndayizigiye Social Worker 10615 Judicial Dr Ste 301, Fairfax, VA 22030-7501 2019-12-12
1245897776 Susan Morris Robertory Social Worker 9117 Kristin Ln, Fairfax, VA 22032-1424 2019-05-21
1083183032 Brooke Diane Postlewaite Social Worker 4110 Chain Bridge Rd Ste 214, Fairfax, VA 22030-4020 2018-11-20
1871061499 Michelle Brown Social Worker 8221 Willow Oaks Corporate Dr # L-306g, Fairfax, VA 22031-4512 2018-11-13
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Competitor

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City FAIRFAX
Zip Code 22031

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Dataset Information

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.

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