Organization
PRIVIA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA FOULKROD (AVP CREDENTIALING & ENROLLMENT)
(571) 650-2710
Entity
Organization
Contact information
Practice address
16 GREENMEADOW DR STE 302, TIMONIUM, MD 21093-3200
(443) 449-5604
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(800) 973-1442
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/09/2025
Last updated
04/27/2026
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