Healthcare Provider Details

I. General information

NPI: 1033696851
Provider Name (Legal Business Name): CLAIRE COURTNEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MAYLAND DR STE A
RICHMOND VA
23294-4648
US

IV. Provider business mailing address

PO BOX 2071
FALLS CHURCH VA
22042-0071
US

V. Phone/Fax

Practice location:
  • Phone: 703-596-2326
  • Fax:
Mailing address:
  • Phone: 703-596-2326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09930325
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904020060
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: