Healthcare Provider Details

I. General information

NPI: 1659556587
Provider Name (Legal Business Name): AUTUMNLEAF GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2008
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 NEW YORK AVE NE STE 100
WASHINGTON DC
20002-3400
US

IV. Provider business mailing address

6200 ROLLING RD UNIT 2251
SPRINGFIELD VA
22152-8011
US

V. Phone/Fax

Practice location:
  • Phone: 202-851-2303
  • Fax:
Mailing address:
  • Phone: 703-658-7103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: JANINE N HARRIGAN
Title or Position: CEO/PRESIDENT
Credential: LCSW
Phone: 703-658-7103