PRINCE WILLIAM COMMUNITY SERVICES
NPI 1902342934
Community/Behavioral Health in Manassas, VA

Active since January 14, 2017CLIA 49D2134575 · Waiver
7762 DONEGAN DR, MANASSAS, VA 20109(703) 792-4935 Get Directions Write a Review

NPPES record last updated: January 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prince William Community Services NPPES

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

PRINCE WILLIAM COMMUNITY SERVICES (NPI 1902342934) is a healthcare organization registered as a community/behavioral health in Manassas, Virginia and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Alan Wooten, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1902342934
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePRINCE WILLIAM COMMUNITY SERVICES
Location Address7762 DONEGAN DRManassas, VA 20109-2868
Mailing Address8033 Ashton AveManassas, VA 20109-2895 · (703) 792-7800
Organization SubpartNo
Authorized OfficialAlan WootenExecutive Director · (703) 792-7894
Enumeration DateJanuary 14, 2017
NPI 1902342934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in VA · 0904000578
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
7762 DONEGAN DR, Manassas, VA 20109

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2134575

Prince William County Community Services · Manassas, VA
Active · expires Aug 3, 2027
CLIA Number49D2134575
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorLisa C. Madron
Laboratory Phone(703) 792-7894
Laboratory LocationPrince William County Community Services7969 Ashton Avenue, Manassas, VA 20109
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Prince William Community Services's NPI number?

The NPI number for Prince William Community Services is 1902342934. It was assigned to this organization in the NPPES registry on January 14, 2017.

Where is Prince William Community Services located?

Prince William Community Services is located at 7762 Donegan Dr, Manassas, VA 20109. The listed phone number is (703) 792-4935.

What is Prince William Community Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Prince William Community Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2134575) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prince William Community Services was last updated on January 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.