MRS. SHIRLEY MINERVA WILLIAMS (NPI# 1801952759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801952759 |
| Entity Type | Individual |
| Full Name | MRS. SHIRLEY MINERVA WILLIAMS |
| Credential | LICSW |
| Practice Address |
9405 Larkdale Terrace Fairfax VA 22039-3136 |
| Mailing Address |
9405 Larkdale Ter Fairfax Station Fairfax Station VA 22039-3136 |
| Practice Telephone | 7036906320 |
| Practice Fax Number | 7036906320 |
| Mailing Telephone | 7036906320 |
| Mailing Fax Number | 7036906320 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2009-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904003799 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1417451311 | Shirley Williams | Nursing Care | 4024 Eastridge Cir, Pompano Beach, FL 33064-1842 | 2018-03-23 |
| 1942714605 | Shirley Ann Williams | Assisted Living Facility | 900 W Residence Ave, Albany, GA 31701-1783 | 2017-11-16 |
| 1568999142 | Shirley Williams | Counselor | 7921 Bullard Ave Ste 2c, New Orleans, LA 70128-1186 | 2017-05-15 |
| 1194995472 | Shirley Ann Williams | Counselor | 3750 Meadowview Road Apt A-1, Lumberton, NC 28358 | 2008-03-03 |
| 1073663837 | Shirley Holly Williams | Dentist | 12920 W Parmer Ln, Suite 101, Cedar Park, TX 78613 | 2007-01-11 |
| 1497302251 | Shirley Williams | Technician | 2770 S Maryland Pkwy Ste 108, Las Vegas, NV 89109-1564 | 2019-08-26 |
| 1538720180 | Shirley Williams | Behavior Technician | 3568 Geraghty Ave, Fairbanks, AK 99709-4701 | 2019-06-25 |
| 1720505332 | Shirley Ann Williams | Technician/Technologist | 12917 Cerise Ave, Hawthorne, CA 90250-5520 | 2017-08-24 |
| 1992232763 | Shirley Williams | Behavior Technician | 809 Sw 89th St, Suite C, Oklahoma City, OK 73139-9360 | 2017-05-11 |
| Street Address |
9405 LARKDALE TERRACE |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22039-3136 |
| 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 |
|---|---|---|---|---|
| 1285234021 | Sabrina Kafin Weiskind | Social Worker | 13221 Point Pleasant Dr, Fairfax, VA 22033-3508 | 2020-10-30 |
| 1154920163 | Vera D Daniel | Social Worker | 4110 Chain Bridge Rd Ste 316, Fairfax, VA 22030-4020 | 2020-10-21 |
| 1154931632 | Brooke Varma | Social Worker | 2971 Lismore Ln, Fairfax, VA 22031-2138 | 2020-08-09 |
| 1922629179 | Emily Tilman | Social Worker | 3524 Country Hill Dr, Fairfax, VA 22030-1818 | 2020-04-29 |
| 1790318236 | Joyce L Montgomery | Social Worker | 10615 Judicial Dr Ste 103, Fairfax, VA 22030-7501 | 2020-02-12 |
| 1356972368 | Minoo Pakdaman | Social Worker | 4290 Birney Ln, Fairfax, VA 22033-4333 | 2020-01-29 |
| 1790323467 | Dorine Ndayizigiye | Social Worker | 10615 Judicial Dr Ste 301, Fairfax, VA 22030-7501 | 2019-12-12 |
| 1245897776 | Susan Morris Robertory | Social Worker | 9117 Kristin Ln, Fairfax, VA 22032-1424 | 2019-05-21 |
| 1083183032 | Brooke Diane Postlewaite | Social Worker | 4110 Chain Bridge Rd Ste 214, Fairfax, VA 22030-4020 | 2018-11-20 |
| 1871061499 | Michelle Brown | Social Worker | 8221 Willow Oaks Corporate Dr # L-306g, Fairfax, VA 22031-4512 | 2018-11-13 |
| Find all providers in FAIRFAX | ||||
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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.