Organization Name: | JILL FARNSWORTH, LLC |
NPI Number: | 1053640573 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JILL FARNSWORTH (OWNER) |
Mailing Address: | 2 Pidgeon Hill Dr Sterling |
State: | VA US |
Postal Code: | 201656145 |
Phone Number: | 5714050566 |
Fax Number: | 7034331558 |
NPI Enumeration Date: | 12/11/2009 |
NPI Last Update Date: | 07/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |