| Joseph Robert Aaron Fruth, LCSW | |
|
8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 | |
| (571) 536-8040 | |
| (703) 653-7002 |
| Full Name | Joseph Robert Aaron Fruth |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 8221 Willow Oaks Corporate Dr, Fairfax, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730807041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904013739 (Virginia) | Primary |
| Entity Name | Fairfax County, Virginia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154356244 PECOS PAC ID: 9739136847 Enrollment ID: O20210319001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Robert Aaron Fruth, LCSW 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 Ph: (571) 536-8040 | Joseph Robert Aaron Fruth, LCSW 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 Ph: (571) 536-8040 |
Ms. Diana Marcela Diaz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2740 Prosperity Ave Ste 200, Fairfax, VA 22031 Phone: 703-321-2687 | |
Cherelle Monea' Washington, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031 Phone: 415-424-4266 Fax: 415-520-6633 | |
Trisha Marie Hindy Burks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-559-3000 | |
Mrs. Irene Carol Ilachinski, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10400 Eaton Pl, Ste 200, Fairfax, VA 22030 Phone: 703-497-1771 Fax: 703-497-1225 | |
Ms. Sandra M Mansfield, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8550 Lee Highway, Suite 300, Fairfax, VA 22031 Phone: 703-207-2810 Fax: 703-207-2838 | |
Anna Lee Koozmin, MSW, LCSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-324-7100 | |
Julia Lynn Converse, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-559-3000 |