| Alexandria Community Services Board | |
|
4850 Mark Center Dr Alexandria VA 22311-1882 | |
| (703) 746-3400 | |
| Not Available |
| Full Name | Alexandria Community Services Board |
|---|---|
| Speciality | Clinic/Center |
| Location | 4850 Mark Center Dr, Alexandria, Virginia |
| Authorized Official Name and Position | Catherine Garvey (DIRECTOR) |
| Authorized Official Contact | 7037463400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandria Community Services Board 4850 Mark Center Dr Fl 8 Alexandria VA 22311-1882 Ph: (703) 746-3400 | Alexandria Community Services Board 4850 Mark Center Dr Alexandria VA 22311-1882 Ph: (703) 746-3400 |
| NPI Number | 1447279658 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Medicare PECOS PAC ID | 0941195374 |
|---|---|
| Medicare Enrollment ID | O20040216000939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447279658 | NPI | - | NPPES |
| A439 | Other | VA | BLUE CROSS BLUE SHIELD |
| 18023 | Other | VA | ANTHEM HEALTHKEEPERS MCO |
| 004945026 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Danica D Palmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972794931 PECOS PAC ID: 3173416898 Enrollment ID: I20040205001247 |
| Provider Name | Gloria Ivey-crowe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699876292 PECOS PAC ID: 0941261713 Enrollment ID: I20041025000680 |
| Provider Name | Elizabeth A San Pedro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326291659 PECOS PAC ID: 0840355467 Enrollment ID: I20090216000243 |
| Provider Name | Claire I Wills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750432621 PECOS PAC ID: 2668520222 Enrollment ID: I20090508000283 |
| Provider Name | Mary C Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245395136 PECOS PAC ID: 9537357942 Enrollment ID: I20101230000014 |
| Provider Name | Wendell Wu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841498193 PECOS PAC ID: 0345425351 Enrollment ID: I20110505000722 |
| Provider Name | Ana Lince |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962571646 PECOS PAC ID: 2163696881 Enrollment ID: I20111115000557 |
| Provider Name | Navneet Sidhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194865428 PECOS PAC ID: 6103922091 Enrollment ID: I20120718000113 |
| Provider Name | Allison K Rivera-guernsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275736043 PECOS PAC ID: 0244496685 Enrollment ID: I20120730000374 |
| Provider Name | Damogipurapu L Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972587665 PECOS PAC ID: 7416195896 Enrollment ID: I20130523000620 |
| Provider Name | Dean A Inouye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902874605 PECOS PAC ID: 6800027350 Enrollment ID: I20140326000098 |
| Provider Name | Jacquelyne Smalls |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285860593 PECOS PAC ID: 4789815911 Enrollment ID: I20140401000478 |
| Provider Name | Robin D Crawley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407078223 PECOS PAC ID: 0941432769 Enrollment ID: I20140410000035 |
| Provider Name | Molly E Schnure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386085363 PECOS PAC ID: 2769614130 Enrollment ID: I20140417000861 |
| Provider Name | Jennifer M Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518380138 PECOS PAC ID: 3173756871 Enrollment ID: I20140505000717 |
| Provider Name | Miriam Elwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851524334 PECOS PAC ID: 2062637788 Enrollment ID: I20150507001088 |
| Provider Name | Alexandru Serghi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366673386 PECOS PAC ID: 9537208004 Enrollment ID: I20150515001586 |
| Provider Name | Christine M Marketti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003205584 PECOS PAC ID: 0143540997 Enrollment ID: I20150519002655 |
| Provider Name | Alexandra Y Campos-martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780943761 PECOS PAC ID: 9931411469 Enrollment ID: I20151210001561 |
| Provider Name | Uzma Amer Mian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003079419 PECOS PAC ID: 6709059256 Enrollment ID: I20160122001267 |
| Provider Name | Harry L Ayling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396924569 PECOS PAC ID: 0244535987 Enrollment ID: I20160218000501 |
| Provider Name | John H Rennick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023070034 PECOS PAC ID: 4082507959 Enrollment ID: I20161228001923 |
| Provider Name | Jane K Albertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326582586 PECOS PAC ID: 5597047662 Enrollment ID: I20180208002880 |
| Provider Name | Victoria Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104324334 PECOS PAC ID: 8022367614 Enrollment ID: I20180815000396 |
| Provider Name | Samantha E Waltrip |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083051007 PECOS PAC ID: 9234489758 Enrollment ID: I20180905000064 |
| Provider Name | Sonja Schrock-fischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912425950 PECOS PAC ID: 0244581692 Enrollment ID: I20180924001871 |
| Provider Name | Kimberly S Ragin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780933549 PECOS PAC ID: 8426309501 Enrollment ID: I20180928002695 |
| Provider Name | Katie Aliberti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215240825 PECOS PAC ID: 2961736178 Enrollment ID: I20190621001701 |
| Provider Name | Amy L Bukowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811559362 PECOS PAC ID: 6608104864 Enrollment ID: I20190826002663 |
| Provider Name | George D Urgo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164956272 PECOS PAC ID: 0648542852 Enrollment ID: I20200929001197 |
| Provider Name | Jordana B Righter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760095145 PECOS PAC ID: 4486038619 Enrollment ID: I20220907001167 |
| Provider Name | Romita Afzal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417447293 PECOS PAC ID: 5597140699 Enrollment ID: I20220909001143 |
| Provider Name | Sean C Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346897576 PECOS PAC ID: 5698150407 Enrollment ID: I20220915000178 |
| Provider Name | Lauren Hillegas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104536499 PECOS PAC ID: 6709229644 Enrollment ID: I20240208000580 |
| Provider Name | Catherine M Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851458855 PECOS PAC ID: 6406121516 Enrollment ID: I20240208000800 |
| Provider Name | Mary E Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306502778 PECOS PAC ID: 9931542719 Enrollment ID: I20240208002133 |
| Provider Name | Andrew Crumpler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871103234 PECOS PAC ID: 7315380821 Enrollment ID: I20240212001412 |
| Provider Name | Jennifer N Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265129621 PECOS PAC ID: 5193168573 Enrollment ID: I20240213003061 |
| Provider Name | Valerie Kanya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760051734 PECOS PAC ID: 4082058490 Enrollment ID: I20240213004274 |
| Provider Name | Ranya K Eid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982272548 PECOS PAC ID: 6204270036 Enrollment ID: I20240220001693 |
| Provider Name | Melissa A Woods |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568715423 PECOS PAC ID: 1951745033 Enrollment ID: I20240223000500 |
| Provider Name | John C Vymetal-taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245756782 PECOS PAC ID: 5698110336 Enrollment ID: I20240304002326 |
| Provider Name | Lauren I Bronzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114413382 PECOS PAC ID: 8123356631 Enrollment ID: I20240313000036 |
A Center For Relationships, Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Commerce St, Alexandria, VA 22314 Phone: 703-549-9554 Fax: 703-535-7982 | |
Alexandria Adolescent And Adult Therapy, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 S Washington St, Suite 330, Alexandria, VA 22314 Phone: 518-483-5002 Fax: 571-312-9526 | |
Amanda Carrington Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N Fairfax St Ste 204, Alexandria, VA 22314 Phone: 703-599-2907 | |
Zion Restoration Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5999 Stevenson Ave, Alexandria, VA 22304 Phone: 571-989-2729 Fax: 571-989-2729 | |
Kmhardymindfulness.life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Diagonal Rd Ste 600, Alexandria, VA 22314 Phone: 571-992-0079 | |
Mentalmaptowellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Washington St Ste 607, Alexandria, VA 22314 Phone: 202-656-3481 | |
Dr Rhea N.mehra,m.d.inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2121 Eisenhower Ave, Suite # 200 ( 2nd Floor ), Alexandria, VA 22314 Phone: 703-953-1557 Fax: 703-880-8414 |