Healthcare Provider Details

I. General information

NPI: 1851971667
Provider Name (Legal Business Name): BRENDA ANN WASHINGTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6911 RICHMOND HWY STE 300
ALEXANDRIA VA
22306-1846
US

IV. Provider business mailing address

6720 NEWINGTON RD
LORTON VA
22079-1109
US

V. Phone/Fax

Practice location:
  • Phone: 703-362-4574
  • Fax:
Mailing address:
  • Phone: 703-362-4572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904006050
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: