KATHLEEN LUCY PERSSON (NPI# 1386979805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386979805 |
| Entity Type | Individual |
| Full Name | KATHLEEN LUCY PERSSON |
| Credential | LCSW |
| Practice Address |
9535 Linton Hall Rd Bristow VA 20136-1217 |
| Practice Telephone | 7033693800 |
| Practice Fax Number | 7033693877 |
| Mailing Telephone | 7033693800 |
| Mailing Fax Number | 7033693877 |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904002269 | VA | Behavioral Health & Social Service Providers |
| Street Address |
9535 LINTON HALL RD |
| City | BRISTOW |
| State | VA |
| Zip Code | 20136-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811053028 | Benedictine Sisters of Virginia | Psychologist | 9535 Linton Hall Rd, Bristow, VA 20136-1217 | 2006-12-29 |
| 1588957112 | Tracy Eileen Quinn | Social Worker | 9535 Linton Hall Rd, Bristow, VA 20136-1217 | 2011-05-16 |
| 1821231143 | Glenna Virginia Smith | Psychologist | 9535 Linton Hall Rd, Bristow, VA 20136-1217 | 2009-04-16 |
| 1336388081 | Benedictine Counseling Services | Community/Behavioral Health | 9535 Linton Hall Rd, Bristow, VA 20136-1217 | 2009-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518405802 | Dharika Bhavsar | Nurse Practitioner | 12207 Desoto Falls Ct, Bristow, VA 20136 | 2017-02-07 |
| 1902284649 | Paul Choi | Physical Therapist | 6858 Old Dominion Drive, Mclean, VA 20136 | 2015-05-14 |
| 1700123031 | Sunlight Home Care Agency | Home Health | 8902 Stable Forest Pl, Bristow, VA 20136 | 2013-01-07 |
| 1437407996 | Elizabeth Michelle Bender | Specialist/Technologist | 12171 Hopper Lane, Bristow, VA 20136 | 2012-08-15 |
| 1477793966 | Pediatrics First Speech Therapy | Speech-Language Pathologist | 10056 Pentland Hills Way, Bristow, VA 20136 | 2009-02-24 |
| 1750599247 | Harris Teeter, LLC | Pharmacy | 10438 Bristow Center Dr., Bristow, VA 20136 | 2007-05-18 |
| 1588760490 | Margaret Precious Neal-stubblefield | Dentist | 12701 Braemar Village Plaza, Bristow, VA 20136 | 2006-09-16 |
| 1538726203 | Brightstone, LLC | Family Medicine | 10040 Pentland Hills Way, Bristow, VA 20136 | 2019-05-28 |
| 1578766036 | Kevin Wade Toms | Dentist | 9070 Devlin Rd, #140, Bristow, VA 20136-1041 | 2007-06-11 |
| 1407011869 | Michelle Klima Toms | Dentist | 9070 Devlin Rd, Suite 140, Bristow, VA 20136-1041 | 2008-07-25 |
| Find all providers in zip 20136 | ||||
| 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 |
|---|---|---|---|---|
| 1821311572 | Barry Lee Valentine | Social Worker | 10004 Tummel Falls Dr, Bristow, VA 20136-1926 | 2010-03-09 |
| 1770805368 | Anna Coolidge Farrell | Social Worker | 9535 Linton Hall Rd., Benedictine Counseling Services, Bristow, VA 20136-1217 | 2010-02-23 |
| 1962689521 | Shanise Signoret Allen | Social Worker | 10840 Clara Barton Dr, Bristow, VA 20136-1349 | 2008-01-25 |
| 1750907762 | Christen Panissidi | Social Worker | 11835 Hazel Circle Dr, Bristow, VA 20136-1223 | 2020-06-25 |
| 1124478979 | Jessica Renee Miller | Social Worker | 11835 Hazel Circle Dr, Bristow, VA 20136-1223 | 2016-06-13 |
| 1912241845 | Kate Elizabeth Lancaster | Social Worker | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2012-11-15 |
| 1588957112 | Tracy Eileen Quinn | Social Worker | 9535 Linton Hall Rd, Bristow, VA 20136-1217 | 2011-05-16 |
| 1811168826 | Katherine Teresa Kellam | Social Worker | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2008-03-18 |
| 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 | ||||
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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.