Provider Demographics
NPI:1437771342
Name:ADIMI, SADIE LOUISE
Entity type:Individual
Prefix:
First Name:SADIE
Middle Name:LOUISE
Last Name:ADIMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 SPRING HILL RD STE 305
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3020
Mailing Address - Country:US
Mailing Address - Phone:240-342-2666
Mailing Address - Fax:833-220-8662
Practice Address - Street 1:14428 ALBEMARLE POINT PL STE 150B
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-1752
Practice Address - Country:US
Practice Address - Phone:240-342-2666
Practice Address - Fax:833-220-8662
Is Sole Proprietor?:No
Enumeration Date:2020-05-13
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133003883103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst