Healthcare Provider Details

I. General information

NPI: 1255188231
Provider Name (Legal Business Name): JONDA D FRICCHIONE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11602 ROBIN WOODS CIR
SPOTSYLVANIA VA
22551-8952
US

IV. Provider business mailing address

11602 ROBIN WOODS CIR
SPOTSYLVANIA VA
22551-8952
US

V. Phone/Fax

Practice location:
  • Phone: 540-455-8333
  • Fax:
Mailing address:
  • Phone: 540-455-8333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904016650
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: