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VANGUARD THERAPY, LLC
NPI 1235660499
Social Worker - Clinical in Fairfax, VA

Active since March 21, 2017
9663 MAIN ST STE D, FAIRFAX, VA 22031(703) 303-8832 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vanguard Therapy, Llc NPPES

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

VANGUARD THERAPY, LLC (NPI 1235660499) is a healthcare organization registered as a clinical in Fairfax, Virginia and active in the NPI registry since March 2017. The organization lists Nancy Shawki, Lead Therapist, as its authorized official.

NPPES Registry Identity

NPI1235660499
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameVANGUARD THERAPY, LLC
Location Address9663 MAIN ST STE DFairfax, VA 22031-3758
Mailing Address9663 Main St Ste DFairfax, VA 22031-3758 · (703) 303-8832
Phone(703) 303-8832
Organization SubpartYes
Authorized OfficialNancy ShawkiLead Therapist · (703) 303-3412
Enumeration DateMarch 21, 2017
✔ NPI 1235660499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904008366
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.
9663 MAIN ST STE D, Fairfax, VA 22031
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CARLY IKUMA
Counselor (Professional)
9663 MAIN ST STE D
FAIRFAX, VA 22031
Fairfax County (703) 303-8832

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 Vanguard Therapy, LLC's NPI number?

The NPI number for Vanguard Therapy, LLC is 1235660499. It was assigned to this organization in the NPPES registry on March 21, 2017.

Where is Vanguard Therapy, LLC located?

Vanguard Therapy, LLC is located at 9663 Main St Ste D, Fairfax, VA 22031. The listed phone number is (703) 303-8832.

What is Vanguard Therapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Vanguard Therapy, LLC was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.