Adolescent And Family Growth Center, INC.
Social Worker, Clinical in Springfield, VA. Organization (NPI-2).
Details
- NPI
- 1295875375
- Entity type
- Organization (NPI-2)
- Legal business name
- Adolescent And Family Growth Center, INC.
- Organization subpart
- No
- Enumeration date
- Feb 7, 2007
- Last updated
- Aug 2, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 251S00000X | Community/Behavioral Health | 24203001 | VA |
Practice location
8000 Forbes PlSuite 201
Springfield, VA 22151-2200
Phone 703-425-9200 · Fax 703-425-9206
Mailing address
8000 Forbes PlSuite 201
Springfield, VA 22151-2200
Phone 703-425-9200 · Fax 703-425-9206
Authorized official
Jermaine H. Johnson
Executive Director
7034259200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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