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: July 19, 2026.

  • Organization
  • Social Worker
  • Clinical

About VANGUARD THERAPY, LLC

This page provides the complete NPI Profile along with additional information for Vanguard Therapy, Llc, a provider established in Fairfax, Virginia operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1235660499 assigned on March 2017. The practitioner's primary taxonomy code is 1041C0700X with license number 0904008366 (VA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Nancy Shawki Lcsw (Lead Therapist)

NPI
1235660499 Verify this NPI
Provider Name
VANGUARD THERAPY, LLC
Entity Type
Organization
Location Address
9663 MAIN ST STE D FAIRFAX, VA 22031
Location Phone
(703) 303-8832
Mailing Address
9663 MAIN ST STE D FAIRFAX, VA 22031
Mailing Phone
(703) 303-8832
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-21-2017
Last Update Date
03-21-2017
Code Navigator

A clinical social worker like Vanguard Therapy, Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
0904008366
License State
VA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NANCY SHAWKI LCSW

Authorized Official Title
LEAD THERAPIST
Authorized Official Phone
(703) 303-3412

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Professional)
9663 MAIN ST STE D
FAIRFAX, VA 22031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235660499, enumerated as an "organization" on March 21, 2017.

The provider is located at 9663 MAIN ST STE D FAIRFAX, VA 22031 and the phone number is (703) 303-8832.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.