ELLIE MENTAL HEALTH
NPI 1962103549
Social Worker - Clinical in Woodbridge, VA

Q: What is Family Mental Health Of Virginia, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since March 13, 2023

4001 PRINCE WILLIAM PKWY STE 301, WOODBRIDGE, VA 22192(202) 390-4243 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 22, 2023, Apr 11, 2023, Mar 13, 2023 (3 updates tracked since 2023).

On this page

About Ellie Mental Health NPPES

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

ELLIE MENTAL HEALTH (NPI 1962103549) is a healthcare organization registered as a clinical in Woodbridge, Virginia and active in the NPI registry since March 2023. The organization lists Jonathan Collegio, Owner, as its authorized official.

NPPES Registry Identity

NPI1962103549

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameFAMILY MENTAL HEALTH OF VIRGINIA, LLC

Location Address4001 PRINCE WILLIAM PKWY STE 301Woodbridge, VA 22192-7667

Mailing Address421 E Columbia StFalls Church, VA 22046-3502 · (202) 390-4243

Phone(202) 390-4243

Organization SubpartNo

Authorized OfficialJonathan CollegioOwner · (202) 390-4243

Enumeration DateMarch 13, 2023

Last NPPES UpdateJune 22, 20233 updates tracked since enumeration

NPPES CertifiedJune 22, 2023

✔ NPI 1962103549 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.

4001 PRINCE WILLIAM PKWY STE 301, Woodbridge, VA 22192

Open in Google Maps ↗

Other Names 1

Doing Business AsEllie Mental Health

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

Other Providers at the Same Location NPPES 20

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

KATHLEEN ELIZABETH BURCH

Social Worker (Clinical)