MR. RAY H GUSTAVSON


Address: 2296 Opitz Blvd Ste 270, 50 South Pickett St, Suite 224, Alexandria, Va. 22304, Woodbridge, VA 22191-3345
Phone: 7035805600

MR. RAY H GUSTAVSON (NPI# 1710068788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710068788
Entity Type Individual
Full Name MR. RAY H GUSTAVSON
Credential M.S.W.
Practice Address 2296 Opitz Blvd Ste 270
50 South Pickett St, Suite 224, Alexandria, Va. 22304
Woodbridge
VA 22191-3345
Mailing Address 15647 Montview Dr
Montclair
VA 22025-1327
Practice Telephone 7035805600
Mailing Telephone 7035805600
Enumeration Date 2006-10-18
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
0904003881 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 8919615 05

Office Location

Street Address 2296 OPITZ BLVD STE 270
50 SOUTH PICKETT ST, SUITE 224, ALEXANDRIA, VA. 22304
City WOODBRIDGE
State VA
Zip Code 22191-3345

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NPI Name Taxonomy Address Enumeration
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1821577263 Maame Gyasiwah Banahene Registered Nurse 1812 Featherstone Rd, Woodbridge, VA 22191 2018-08-07
1235617507 Yaw P. Baidoo Nutritionist 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 2018-07-30
1477048452 Anahita Abazari Optometrist 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 2018-06-22
1619490661 Misti S Gray Nurse Practitioner 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 2017-07-21
1568991974 Patrice Whilby Behavior Technician 2264 York Drive Apt 302, Woodbridge, VA 22191 2017-06-08
1508395245 Maria Theresa Lee Registered Nurse 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 2017-06-07
1861943763 A1 Home Care, LLC Home Health 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 2016-10-17
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518568518 Ruth Ilboudo Social Worker 15732 John Diskin Cir, Woodbridge, VA 22191-6550 2020-11-05
1801409123 Angel Bartlett Social Worker 2357 Brookmoor Ln, Woodbridge, VA 22191-4083 2020-08-26
1306308234 Emily Manza Social Worker 16012 Indus Dr, Woodbridge, VA 22191-4336 2019-04-01
1053885707 Shatiera Monique Amankrah Social Worker 3733 Hetten Ln, Woodbridge, VA 22193-1048 2019-01-16
1922576099 Paula Dorman Social Worker 4001 Prince William Pkwy Ste 300, Woodbridge, VA 22192-7667 2018-11-07
1417444910 Mallory Grimste LLC Social Worker 30 Hazel Ter Ste 12, Woodbridge, CT 06525-2240 2018-04-19
1003315391 Sage Community Counseling LLC Social Worker 2239b Tacketts Mill Dr, Woodbridge, VA 22192-3026 2018-02-02
1568902765 Tabitha Mann Social Worker 12191 Cardamom Dr, Woodbridge, VA 22192-1448 2017-03-07
1184169765 Mahogany Lacour Social Worker 4197 Windflower Ct, Woodbridge, VA 22193-5100 2017-01-05
1932655354 Kayla Marie Lucas Social Worker 1 Bradley Rd Ste 404405, Woodbridge, CT 06525-2285 2016-08-26
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Competitor

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City WOODBRIDGE
Zip Code 22191

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Dataset Information

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.

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