MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC
NPI 1285388637
Social Worker - Clinical in Fairfax, VA

NPI Status: Active since February 04, 2022

Contact Information

3921 PROSPERITY AVE
FAIRFAX, VA
ZIP 22031
Phone: (855) 417-2486

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  • Organization
  • Social Worker
  • Clinical
  • CLIA Number: 49D1080579
  • CLIA Cert. Type: Other - LIMITED HEALTHCARE CLINIC
  • CLIA Exp. Date: 06-15-2027

About MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC

This page provides the complete NPI Profile along with additional information for Minuteclinic Diagnostic Of Virginia 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 1285388637 assigned on February 2022. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated 4 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 Deborah Jean Pincince (Administrator)

NPI
1285388637
Provider Name
MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC
Entity Type
Organization
Location Address
3921 PROSPERITY AVE FAIRFAX, VA 22031
Location Phone
(855) 417-2486
Mailing Address
PO BOX 772 MC2295 WOONSOCKET, RI 02895
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-04-2022
Last Update Date
02-04-2022
Code Navigator

A clinical social worker like Minuteclinic Diagnostic Of Virginia 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.

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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
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

DEBORAH JEAN PINCINCE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(401) 770-3813

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D1080579
Facility Type
Other - LIMITED HEALTHCARE CLINIC
Certificate Effective Date
June 16, 2025
Certificate Expiration Date
June 15, 2027
Laboratory Director
BLEN ABDI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Minuteclinic Diagnostic Of Virginia Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285388637, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 3 → 6 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 6 + 8 + 1 + 6 + 6 + 6 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1285388637.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Nurse Practitioner (Family)
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Pharmacy
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Pharmacist
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Pharmacist
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Pharmacist
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Nurse Practitioner (Family)
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Counselor (Professional)
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Counselor (Professional)
3921 PROSPERITY AVE
FAIRFAX, VA 22031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285388637, enumerated as an "organization" on February 04, 2022.

The provider is located at 3921 PROSPERITY AVE FAIRFAX, VA 22031 and the phone number is (855) 417-2486.

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