Anja D. Blackadar, LCSW
Social Worker, Clinical in Alexandria, VA. Individual provider (NPI-1).
NPI number1003561069
StatusActive
Last updated in NPPESJun 18, 2024
Details
- NPI
- 1003561069
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Anja D. Blackadar
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 18, 2022
- Certification date
- Jun 18, 2024
- Last updated
- Jun 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904015022 | VA | Yes |
Practice location
4850 Mark Center DrAlexandria, VA 22311-1882
Phone 703-746-3400
Mailing address
3901 Whispering LnFalls Church, VA 22041-1113
Other practice locations
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