Reevolve,llc
Social Worker, Clinical in Ashburn, VA. Organization (NPI-2).
NPI number1356881908
StatusActive
Last updated in NPPESOct 5, 2026
Details
- NPI
- 1356881908
- Entity type
- Organization (NPI-2)
- Legal business name
- Reevolve,llc
- Organization subpart
- No
- Enumeration date
- Mar 1, 2017
- Certification date
- Oct 5, 2026
- Last updated
- Oct 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904007067 | VA | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YP1600X | Counselor, Pastoral | – | – | |
| 103T00000X | Psychologist | – | – | |
| 1041C0700X | Social Worker, Clinical | 14604 | MD | |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
44330 Premier Plz Ste 100Ashburn, VA 20147-5071
Phone 703-340-8936
Mailing address
Po Box 4025100
Leesburg, VA 20177-8198
Phone 703-340-8936 · Fax 866-929-9306
Authorized official
Garnet Nelson
Director
7033408936
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