Provider Demographics
NPI:1174788244
Name:NEDRICK-ARMSTRONG, CONSTANCE ANN (LCSW)
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:ANN
Last Name:NEDRICK-ARMSTRONG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CONNIE
Other - Middle Name:
Other - Last Name:NEDRICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:8119 BARD ST
Mailing Address - Street 2:
Mailing Address - City:MASON NECK
Mailing Address - State:VA
Mailing Address - Zip Code:22079-3507
Mailing Address - Country:US
Mailing Address - Phone:703-541-3191
Mailing Address - Fax:703-792-5699
Practice Address - Street 1:8119 BARD ST
Practice Address - Street 2:
Practice Address - City:MASON NECK
Practice Address - State:VA
Practice Address - Zip Code:22079-3507
Practice Address - Country:US
Practice Address - Phone:703-541-3191
Practice Address - Fax:703-792-5699
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040038891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical