Provider Demographics
NPI:1801219688
Name:BUSINESSWORKS OF AMERICA INC
Entity Type:Organization
Organization Name:BUSINESSWORKS OF AMERICA INC
Other - Org Name:MICHAEL KEITH LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KEITH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:703-536-1736
Mailing Address - Street 1:6062 ARLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2900
Mailing Address - Country:US
Mailing Address - Phone:703-536-1736
Mailing Address - Fax:703-536-7610
Practice Address - Street 1:6062 ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2900
Practice Address - Country:US
Practice Address - Phone:703-536-1736
Practice Address - Fax:703-536-7610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty