1. Home
  2. Directory
  3. Virginia
  4. Alexandria
  5. Social Worker
  6. NPI Profile

OLD TOWN THERAPY & WELLNESS CENTER, LLC
NPI 1760723423
Social Worker - Clinical in Alexandria, VA

Active since March 06, 2013
6119 HOLLY TREE DR, ALEXANDRIA, VA 22310(703) 577-5550 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Old Town Therapy & Wellness Center, Llc NPPES

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

OLD TOWN THERAPY & WELLNESS CENTER, LLC (NPI 1760723423) is a healthcare organization registered as a clinical in Alexandria, Virginia and active in the NPI registry since March 2013. The organization lists Susan Ross, Director, as its authorized official.

NPPES Registry Identity

NPI1760723423
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameOLD TOWN THERAPY & WELLNESS CENTER, LLC
Location Address6119 HOLLY TREE DRAlexandria, VA 22310-2215
Mailing Address817 King St Ste 203aAlexandria, VA 22314-3016
Phone(703) 577-5550
Organization SubpartNo
Authorized OfficialSusan RossDirector · (703) 577-5550
Enumeration DateMarch 6, 2013
✔ NPI 1760723423 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 · 0904005550
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.
6119 HOLLY TREE DR, Alexandria, VA 22310
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Old Town Therapy & Wellness Center, LLC's NPI number?

The NPI number for Old Town Therapy & Wellness Center, LLC is 1760723423. It was assigned to this organization in the NPPES registry on March 6, 2013.

Where is Old Town Therapy & Wellness Center, LLC located?

Old Town Therapy & Wellness Center, LLC is located at 6119 Holly Tree Dr, Alexandria, VA 22310. The listed phone number is (703) 577-5550.

What is Old Town Therapy & Wellness Center, 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 Old Town Therapy & Wellness Center, LLC was last updated on March 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.