NPI 1033689260

Michelle Martin, LCSW

Practitioner Clinical Social Worker Leesburg, VA

Practice location

Address: 102 Heritage Way NE STE 302, Leesburg, VA 20176-4544
Phone: (703) 771-5100
Fax: (703) 777-0170
Mailing address: PO Box 7400, Leesburg, VA 20177-7400

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 0904004791 (VA)

Other Social Worker providers in Virginia →

Registry record

NPI: 1033689260
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2018
Record last updated: 30 Nov 2018

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.