Healthcare Provider Details

I. General information

NPI: 1487098836
Provider Name (Legal Business Name): JUSTIN T WOODS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2013
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LANDSTUHL REGIONAL MEDICAL CENTER OPC 402 BOX 2
APO AE
09180
US

IV. Provider business mailing address

LANDSTUHL REGIONAL MEDICAL CENTER OPC 402 BOX 2
APO AE
09180
US

V. Phone/Fax

Practice location:
  • Phone: 314-590-6310
  • Fax:
Mailing address:
  • Phone: 314-590-6310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW13050
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: