KELLY MANYA (NPI# 1164858817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164858817 |
| Entity Type | Individual |
| Full Name | KELLY MANYA |
| Credential | LCSW |
| Practice Address |
8455 Hampton Way Fairfax Station VA 22039-2738 |
| Mailing Address |
8455 Hampton Way Fairfax Station VA 22039 |
| Practice Telephone | 7039191666 |
| Mailing Telephone | 7039191666 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904004334 | VA | Behavioral Health & Social Service Providers |
| Street Address |
8455 HAMPTON WAY |
| City | FAIRFAX STATION |
| State | VA |
| Zip Code | 22039-2738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114317468 | Trinh Tran | Pharmacist | 9061 Emma Ann Way, Fairfax Station, VA 22039 | 2015-01-26 |
| 1629338975 | Stephen Paul Boglarski | Dentist | 8300 Tabor Lane, Fairfax Station, VA 22039 | 2012-05-21 |
| 1932202181 | Christopher Charles Virusky | Chiropractor | 9015 Silverbrook Road, Suite 105, Fairfax Station, VA 22039 | 2006-09-06 |
| 1366425415 | Margaret Montgomer Jones | Registered Nurse | 8133 Rondelay Ln, Fairfax Station, VA 22039 | 2005-11-22 |
| 1831647239 | Fairfax Internal Medicine and Primary Care PC | Clinic/Center | 5618 Ox Rd, Suite D-2, Fairfax Station, VA 22039 | 2016-09-14 |
| 1750535274 | Catherine M. Janus | Physical Therapist | 5618 Ox Rd, Suite H, Fairfax Station, VA 22039 | 2008-11-11 |
| 1790810547 | Ignaz P Jarbadan Md PC | Internal Medicine | 9015 Silverbrook Road, Ste 106, Fairfax Station, VA 22039 | 2007-02-22 |
| 1548549413 | Roy D. Novick | Dentist | 5616g Ox Rd, Fairfax Station, VA 22039-1018 | 2011-08-10 |
| 1043510639 | Jessica May Cantu-lane | Physical Therapy Assistant | 5618h Ox Rd, Fairfax Station, VA 22039-1018 | 2010-10-28 |
| 1396937553 | Larmour Chiropractic, Inc. | Chiropractor | 5616f Ox Rd, Fairfax Station, VA 22039-1018 | 2007-08-13 |
| Find all providers in zip 22039 | ||||
| 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 |
|---|---|---|---|---|
| 1962803809 | Lisa Anne Eidelkind | Social Worker | 9127 Wood Pointe Way, Fairfax Station, VA 22039-3069 | 2014-09-10 |
| 1841359833 | Janice Irene Falk | Social Worker | 8309 Crestridge Rd, Fairfax Station, VA 22039-2311 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780420 | Sharon Bixby | Social Worker | 10165 Meadows Rd, Locust Grove, VA 22508-9612 | 2020-11-08 |
| 1518568518 | Ruth Ilboudo | Social Worker | 15732 John Diskin Cir, Woodbridge, VA 22191-6550 | 2020-11-05 |
| 1639770597 | Tracy Ann Carroll | Social Worker | 16200 Saville Chase Ln, Midlothian, VA 23112-4585 | 2020-11-05 |
| 1801497037 | Miriam Matthews | Social Worker | 503 Arbre Ct, Virginia Beach, VA 23451-6001 | 2020-11-04 |
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1932700382 | Caitlin Duggan | Social Worker | 5712 Oak Knoll Rd, Midlothian, VA 23112-2400 | 2020-11-03 |
| 1285234021 | Sabrina Kafin Weiskind | Social Worker | 13221 Point Pleasant Dr, Fairfax, VA 22033-3508 | 2020-10-30 |
| 1932709714 | Jennifer Lynn Sistrunk | Social Worker | 5608 Riverside Heights Way, Richmond, VA 23225-2478 | 2020-10-29 |
| 1841890027 | Heather D Hiner | Social Worker | 735 Sanhill Dr, Lynchburg, VA 24502-4923 | 2020-10-28 |
| 1518567627 | Emily Apkarian | Social Worker | 923 E Ocean View Ave, Norfolk, VA 23503-1909 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | FAIRFAX STATION |
| Zip Code | 22039 |
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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.