Doctor Name: | MRS. ANGELA MARIE WADDY |
NPI Number: | 1104880632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACSW,LCSW,BCD |
License Number: | C006085 |
Business Practice Address: | 700 24th St Fort Lee, VA - 238011716 |
Business Phone Number: | 8047349942 |
Business Fax Number: | 8778741008 |
Mailing Address: | 700 24th St, FORT LEE |
State: | VA |
Postal Code: | 238011716 |
Phone Number: | 8047349942 |
Fax Number: | 8778741008 |
NPI Enumeration Date: | 04/13/2006 |
NPI Last Update Date: | 04/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C006085 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |