Healthcare Provider Details

I. General information

NPI: 1497321566
Provider Name (Legal Business Name): ELIZABETH ACHEAMPONG MS, LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2021
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16951 MONMOUTH CT
DUMFRIES VA
22026-3253
US

IV. Provider business mailing address

16951 MONMOUTH CT
DUMFRIES VA
22026-3253
US

V. Phone/Fax

Practice location:
  • Phone: 703-539-2478
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number25662
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC200003303
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904016998
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: