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GUEORGUI KLISSOUROV PHD
NPI 1073208070
Case Manager/Care Coordinator in Ashburn, VA

Active since April 06, 2023
20116 ASHBROOK PL, ASHBURN, VA 20147(540) 630-1211 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2023, Apr 6, 2023 (2 updates tracked since 2023).

About Gueorgui Klissourov Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUEORGUI KLISSOUROV PHD (NPI 1073208070) is an individual case manager/care coordinator provider in Ashburn, Virginia and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1073208070
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameGUEORGUI KLISSOUROVCredential: PHD
Location Address20116 ASHBROOK PLAshburn, VA 20147-5086
Mailing Address20116 Ashbrook PlAshburn, VA 20147-5086 · (540) 630-1211
Phone(540) 630-1211
Sole ProprietorYes
Enumeration DateApril 6, 2023
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1073208070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
20116 ASHBROOK PL, Ashburn, VA 20147
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANA RANIA RASAMNY
Counselor (Mental Health)
20116 ASHBROOK PL
ASHBURN, VA 20147
Loudoun County (571) 977-6916

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gueorgui Klissourov's NPI number?

The NPI number for Gueorgui Klissourov is 1073208070. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Gueorgui Klissourov located?

Gueorgui Klissourov practices at 20116 Ashbrook Pl, Ashburn, VA 20147. The listed phone number is (540) 630-1211.

What is Gueorgui Klissourov's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Gueorgui Klissourov was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.