Doctor Name: | ELLEN M. NEAL |
NPI Number: | 1114039476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W |
License Number: | 0904006170 |
Business Practice Address: | 297 Herndon Pkwy Suite 202 Herndon, VA - 201704474 |
Business Phone Number: | 7032200107 |
Business Fax Number: | 7032663677 |
Mailing Address: | 297 Herndon Pkwy, Suite 202 HERNDON |
State: | VA |
Postal Code: | 201704474 |
Phone Number: | 7032200107 |
Fax Number: | 7032663677 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 08/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904006170 |
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 |