| Doctor Name: | MS. SANDRA M MANSFIELD |
| NPI Number: | 1013082965 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 0904001546 |
| Business Practice Address: | 8550 Lee Highway Suite 300 Fairfax, VA - 220311519 |
| Business Phone Number: | 7032072810 |
| Business Fax Number: | 7032072838 |
| Mailing Address: | Kaiser Permanente Mid Atlantic Permanente Medical Group, 2101 East Jefferson Street Ppqa Medicare Compliance Uni ROCKVILLE |
| State: | MD |
| Postal Code: | 208524908 |
| Phone Number: | 3018166660 |
| Fax Number: | 3018166308 |
| NPI Enumeration Date: | 11/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904001546 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |