ANGELA CAPPUCCILLI GANNON (NPI# 1063751782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063751782 |
| Entity Type | Individual |
| Full Name | ANGELA CAPPUCCILLI GANNON |
| Credential | LCSW |
| Practice Address |
7010 Braddock Rd Annandale VA 22003-6006 |
| Practice Telephone | 7039418810 |
| Practice Fax Number | 7036582378 |
| Mailing Telephone | 7039418810 |
| Mailing Fax Number | 7036582378 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1647 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740481431 | Angela Gannon | Psychiatry & Neurology | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2007-05-30 |
| Street Address |
7010 BRADDOCK RD |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-6006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659453231 | Phillips Programs | Community/Behavioral Health | 7010 Braddock Rd, Annandale, VA 22003-6006 | 2006-10-20 |
| 1679122378 | Alexandra Cooper | Social Worker | 7010 Braddock Rd, Annandale, VA 22003-6006 | 2019-09-05 |
| 1588210363 | Katherine Guiffre | Social Worker | 7010 Braddock Rd, Annandale, VA 22003-6006 | 2019-08-16 |
| 1326691460 | Lindsay Marie Eberling | Social Worker | 7010 Braddock Rd, Annandale, VA 22003-6006 | 2019-07-18 |
| 1689022725 | Cheryl Bragg | Psychologist | 7010 Braddock Rd, Annandale, VA 22003-6006 | 2016-05-31 |
| 1487001012 | Lindsay Miller | Speech-Language Pathologist | 7010 Braddock Rd, Annandale, VA 22003-6006 | 2016-05-24 |
| 1831546522 | Shannon Lea Rice | Speech-Language Pathologist | 7010 Braddock Rd, Annandale, VA 22003-6006 | 2016-05-23 |
| 1356798433 | Adrienne Starr | Speech-Language Pathologist | 7010 Braddock Rd, Annandale, VA 22003-6006 | 2016-05-19 |
| 1053768069 | Julie Donnell Martin | Social Worker | 7010 Braddock Rd, Annandale, VA 22003-6006 | 2016-05-19 |
| 1023465077 | Ansley Shackelford | Counselor | 7010 Braddock Rd, Annandale, VA 22003-6006 | 2016-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103998 | New Vision Counseling LLC | Social Worker | 67 Beaver Ave Ste 10, Annandale, NJ 08801-3067 | 2020-01-26 |
| 1003263666 | Morgan Bishop Ritacco | Social Worker | 7120 Jayhawk St, Annandale, VA 22003-5831 | 2016-05-24 |
| 1588030746 | Journey Counseling Services LLC | Social Worker | 4929 King David Blvd, Annandale, VA 22003-4032 | 2015-08-11 |
| 1487957221 | Shirley Ann Myers | Social Worker | 7010 Little River Tpke Ste 335, Annandale, VA 22003-3249 | 2010-12-17 |
| 1548573223 | Deborah Ann Mcsorley | Social Worker | 3959 Hancock Forest Trl, Annandale, VA 22003-1571 | 2010-07-22 |
| 1114102399 | Louise Del Maestro | Social Worker | 5015 Dodson Dr, Annandale, VA 22003-6142 | 2008-01-07 |
| 1013107408 | Bonnie A Manuel | Social Worker | 5045 Backlick Rd, Annandale, VA 22003-6045 | 2007-07-31 |
| 1467659169 | Maryann Gasaway | Social Worker | 7330 Mcwhorter Pl, Annandale, VA 22003-5605 | 2007-06-27 |
| 1538210802 | Gail B Silberman | Social Worker | 40 Herman Thau Rd, Annandale, NJ 08801-3001 | 2007-01-15 |
| 1790842953 | Anngia Marie Wood | Social Worker | 6816 Perry Penney Dr, Annandale, VA 22003-3561 | 2007-01-03 |
| Find all providers in ANNANDALE | ||||
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| 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.