Healthcare Provider Details

I. General information

NPI: 1902760432
Provider Name (Legal Business Name): LENZY SOTO-VALDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1729 KING ST STE 300
ALEXANDRIA VA
22314-2742
US

IV. Provider business mailing address

4400 UNIVERSITY DR
FAIRFAX VA
22030-4444
US

V. Phone/Fax

Practice location:
  • Phone: 571-440-7122
  • Fax:
Mailing address:
  • Phone: 703-993-6848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0906017765
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: