Healthcare Provider Details

I. General information

NPI: 1073442182
Provider Name (Legal Business Name): ISABELLA LARKIN ALBERT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ISABELLA LARKIN RUSSELL LMSW

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 BRADDOCK PL
ALEXANDRIA VA
22314-1693
US

IV. Provider business mailing address

1340 BRADDOCK PL
ALEXANDRIA VA
22314-1693
US

V. Phone/Fax

Practice location:
  • Phone: 703-619-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number0903004878
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: