Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Old Town Therapy & Wellness Center, LLC

Organization Clinical Social Worker · NPI 1760723423

Old Town Therapy & Wellness Center, LLC is a Clinical Social Worker 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
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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