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MINDFUL ATHLETES
NPI 1467104844
Social Worker - Clinical in Woodbridge, VA

Active since January 26, 2022
12569 PLYMOUTH CT, WOODBRIDGE, VA 22192(703) 220-0037 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mindful Athletes NPPES

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

MINDFUL ATHLETES (NPI 1467104844) is a healthcare organization registered as a clinical in Woodbridge, Virginia and active in the NPI registry since January 2022. The organization lists Kailyn Rae Slade, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1467104844
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMINDFUL ATHLETES
Location Address12569 PLYMOUTH CTWoodbridge, VA 22192-2349
Mailing Address12569 Plymouth CtWoodbridge, VA 22192-2349 · (703) 220-0037
Phone(703) 220-0037
Organization SubpartNo
Authorized OfficialKailyn Rae SladeLicensed Clinical Social Worker · (703) 220-0037
Enumeration DateJanuary 26, 2022
NPPES CertifiedJanuary 26, 2022
✔ NPI 1467104844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
12569 PLYMOUTH CT, Woodbridge, VA 22192
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Other Identifiers 1

Other2123VA · Anthem

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 2

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

KAILYN R SLADE LCSW
Social Worker (School)
12569 PLYMOUTH CT
WOODBRIDGE, VA 22192
Prince William County (703) 220-0037
TERESA B SLADE
Home Health Aide
12569 PLYMOUTH CT
WOODBRIDGE, VA 22192
Prince William County (571) 284-9406

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 Mindful Athletes's NPI number?

The NPI number for Mindful Athletes is 1467104844. It was assigned to this organization in the NPPES registry on January 26, 2022.

Where is Mindful Athletes located?

Mindful Athletes is located at 12569 Plymouth Ct, Woodbridge, VA 22192. The listed phone number is (703) 220-0037.

What is Mindful Athletes'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 Mindful Athletes was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.