Commonwealth Mental Health Assoc

Social Worker, Clinical in Springfield, VA. Organization (NPI-2).

NPI number1679796239

StatusActive

Last updated in NPPESJul 21, 2022

Details

NPI: 1679796239
Entity type: Organization (NPI-2)
Legal business name: Commonwealth Mental Health Assoc
Organization subpart: No
Enumeration date: Apr 11, 2007
Last updated: Jul 21, 2022

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	–	VA	Yes

Practice location

8322 D Traford Lane
Springfield, VA 22152

Phone 703-913-3503 · Fax 703-913-1193

Mailing address

8322 D Traford Lane
Springfield, VA 22152

Phone 703-913-3503 · Fax 703-913-1193

Authorized official

Mark Anthony Rutkowski
President
7035692168

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.

Other Clinical Social Worker providers in Springfield, VA

All 77 Clinical Social Worker providers in Springfield · All 2,174 providers in Springfield

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