Healthcare Provider Details

I. General information

NPI: 1114489028
Provider Name (Legal Business Name): KRYSTAL DARNELL-BROWN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRYSTAL DARNELL

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4850 MARK CENTER DR
ALEXANDRIA VA
22311-1882
US

IV. Provider business mailing address

1311 DOLLEY MADISON BLVD BLDG A
MC LEAN VA
22101-3937
US

V. Phone/Fax

Practice location:
  • Phone: 703-746-3400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904010792
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: