Healthcare Provider Details

I. General information

NPI: 1548115579
Provider Name (Legal Business Name): IRIS I ALICEA TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 WASHINGTON BLVD FL 4
ARLINGTON VA
22204-5717
US

IV. Provider business mailing address

99 BAR HARBOR TER
CHARLES TOWN WV
25414-1215
US

V. Phone/Fax

Practice location:
  • Phone: 703-228-1700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0903004510
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCSW03933
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: