ELIZABETH SAN PEDRO (NPI# 1326291659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326291659 |
| Entity Type | Individual |
| Full Name | ELIZABETH SAN PEDRO |
| Credential | LCSW |
| Practice Address |
720 N Saint Asaph St Alexandria VA 22314-1912 |
| Mailing Address |
3800 Powell Ln #616 Falls Church VA 22041-3687 |
| Practice Telephone | 7037463444 |
| Practice Fax Number | 7037463464 |
| Mailing Telephone | 7037463444 |
| Mailing Fax Number | 7037463464 |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2009-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904006893 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004945026 | 05 |
| Street Address |
720 N SAINT ASAPH ST |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22314-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902874605 | Dean Akira Inouye | Psychiatry & Neurology | 720 N Saint Asaph St, Alexandria, VA 22314-1912 | 2006-03-09 |
| 1811559362 | Amy Bukowski | Social Worker | 720 N Saint Asaph St, Alexandria, VA 22314-1912 | 2019-07-05 |
| 1275097222 | Kelsey Pauline Stodtko | Counselor | 720 N Saint Asaph St, Alexandria, VA 22314-1912 | 2019-01-24 |
| 1255809224 | Sherry L Ricci | Counselor | 720 N Saint Asaph St, Alexandria, VA 22314-1941 | 2018-11-08 |
| 1912425950 | Sonja Schrock-fischer | Social Worker | 720 N Saint Asaph St, Alexandria, VA 22314-1912 | 2017-08-30 |
| 1134677503 | Ione Penedo Moreira | Counselor | 720 N Saint Asaph St, Alexandria, VA 22314-1912 | 2016-09-14 |
| 1104370170 | Matthew Levine | Social Worker | 720 N Saint Asaph St, Alexandria, VA 22314-1912 | 2016-08-08 |
| 1295185759 | Sue Ellen Mawhinney | Social Worker | 720 N Saint Asaph St, Csb, Emergency Services, Alexandria, VA 22314-1912 | 2016-06-15 |
| 1952776197 | Jennifer Rohrer | Psychologist | 720 N Saint Asaph St, Alexandria, VA 22314-1912 | 2015-12-13 |
| 1467832469 | City of Alexandria | Clinic/Center | 720 N Saint Asaph St, Alexandria, VA 22314-1912 | 2015-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359889 | Faustina Darko Sarpong | Registered Nurse | Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 | 2019-07-29 |
| 1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
| 1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
| 1508321860 | Turning Point Counseling Services LLC | Social Worker | 500 North Washington St, Alexandria, VA 22314 | 2019-01-31 |
| 1841769981 | Melanie Lynn Froemke | Social Worker | Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 | 2018-11-19 |
| 1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
| 1730678632 | Jacquelyn Clarissa Lusk | Social Worker | 1340 Braddock Place, Alexandria, VA 22314 | 2018-05-07 |
| 1083142160 | Kings Medical Transportation Incorported | Non-emergency Medical Transport (VAN) | 1727 King Strreet, Suite 300, Alexandria, VA 22314 | 2017-06-01 |
| 1114478930 | Tanne B Gabler | Social Worker | 719 S. Fayette St, Alexandria, VA 22314 | 2016-10-17 |
| 1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
| Find all providers in zip 22314 | ||||
| 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 |
|---|---|---|---|---|
| 1104426220 | Marcia E Johnson | Social Worker | 1469 S Highview Ln Apt 104, Alexandria, VA 22311-2313 | 2020-10-28 |
| 1194339978 | Jessica Marie Drake | Social Worker | 1721 Braddock Pl, Alexandria, VA 22302-2633 | 2020-08-31 |
| 1114535507 | Rebecca Loesberg | Social Worker | 1513 Crestwood Dr, Alexandria, VA 22302-2303 | 2020-07-21 |
| 1427687920 | Amanda Morales | Social Worker | 218 N Lee St Ste 303, Alexandria, VA 22314-2631 | 2020-04-06 |
| 1871122648 | Jennifer Marie Greene | Social Worker | 1503 Russell Rd, Alexandria, VA 22301-2052 | 2020-04-03 |
| 1992342869 | Brittany D Egan | Social Worker | 5021 Seminary Rd Apt 916, Alexandria, VA 22311-1934 | 2019-12-10 |
| 1114564887 | Derek Morch Lcsw LLC | Social Worker | 709 Pendleton St Ste 201, Alexandria, VA 22314-1820 | 2019-12-02 |
| 1386289080 | Christina Huie | Social Worker | 8350 Richmond Hwy Ste 515, Alexandria, VA 22309-2345 | 2019-11-18 |
| 1023668167 | Danny Hyungmin Kim | Social Worker | 4401 Ford Ave Ste 103, Alexandria, VA 22302-1464 | 2019-09-19 |
| 1346899580 | Erik Larson | Social Worker | 702 34th Ave E, Alexandria, MN 56308-2599 | 2019-09-10 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22314 |
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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.