Healthcare Provider Details

I. General information

NPI: 1710993696
Provider Name (Legal Business Name): ANNA CECELIA DELONG MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1222 JEFFERSON PARK AVE RM 517
CHARLOTTESVILLE VA
22903-3410
US

IV. Provider business mailing address

PO BOX 749112
ATLANTA GA
30374-9112
US

V. Phone/Fax

Practice location:
  • Phone: 434-982-1963
  • Fax: 434-244-9433
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904002498
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: