Whalio Doctors

NPI 1013082965

Sandra M Mansfield, LCSW

Practitioner Clinical Social Worker Fairfax, VA

Practice location

Address
8550 Lee Highway Suite 300, Fairfax, VA 22031-1519
Phone
(703) 207-2810
Fax
(703) 207-2838
Mailing address
Kaiser Permanente Mid Atlantic Permanente Medical Group 2101 East Jefferson Street Ppqa Medicare Compliance Uni, Rockville, MD 20852-4908

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 0904001546 (VA)

Registry record

NPI
1013082965
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Nov 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.