Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Old Town Therapy & Wellness Center, LLC

Organization Clinical Social Worker · NPI 1760723423

Old Town Therapy & Wellness Center, LLC provides Clinical Social Worker services in Alexandria, Virginia. Licensed in Virginia. Registered with an NPI since 2013.

Licensed in
VA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6119 Holly Tree Dr
Alexandria, VA 22310-2215 Not confirmed with CMS for 13 years — call before visiting
Phone: (703) 577-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904005550 (VA)

Record details

NPI number1760723423
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Ross — Director · (703) 577-5550
NPI enumeratedMarch 6, 2013
Last updated in NPPESMarch 6, 2013
Mailing address817 King St Ste 203a, Alexandria, VA 22314-3016

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