MEDICARE: MRS. DANICA BEAULAC COPP LICSW/MA LCSW/VA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	112105	MA
2	1041C0700X	Clinical Social Worker	0904006764	VA

General Provider Information

NPI Number	:	1588723050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANICA BEAULAC COPP LICSW/MA LCSW/VA

Provider Business Mailing Address
First Line	:	13649 OFFICE PL
Second Line	:	102
City	:	WOODBRIDGE
State	:	VA
Zip	:	22192-4215
Country	:	US
Telephone Number	:	703-670-5738
Fax Number	:	703-670-8213

Provider Business Practice Location Address
First Line	:	13649 OFFICE PL
Second Line	:	102
City	:	WOODBRIDGE
State	:	VA
Zip	:	22192-4215
Country	:	US
Telephone Number	:	703-670-5738
Fax Number	:	703-670-8213

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	01/16/2020

Similar Medicare Providers

1346340403 — MS. RITA THERESA MAISE I LCSW
Practice Location Address:

13649 OFFICE PL , #102
WOODBRIDGE, VA
22192-4215

Practice Phone: 703-670-5738
Practice Fax: 703-670-8213

1770842585 — MR. SAM BOWMER M.S.W. , L.C.S.W.
Practice Location Address:

13649 OFFICE PL STE 102
WOODBRIDGE, VA
22192-4215

Practice Phone: 703-670-5738
Practice Fax: 703-670-8213

1134531569 — LATOYA CHEATHAM LCSW
Practice Location Address:

13649 OFFICE PL STE 102
WOODBRIDGE, VA
22192-4215

Practice Phone: 703-670-5738
Practice Fax:

1942662259 — TMS NEUROHEALTH CENTERS WOODBRIDGE LLC
Practice Location Address:

13649 OFFICE PL , SUITE 102
WOODBRIDGE, VA
22192-4215

Practice Phone: 571-402-1948
Practice Fax:

1588964654 — HYE JULIE KIM
Practice Location Address:

4215 CHESHIRE STATION PLZ
WOODBRIDGE, VA
22193-2217

Practice Phone: 703-590-8021
Practice Fax: 703-590-6702

1710353248 — DR. STELLA N KINTU PHARM.D
Practice Location Address:

4215 DALE BLVD , TDS HEALTH
WOODBRIDGE, VA
22193-2243

Practice Phone: 703-897-1837
Practice Fax: 703-897-4862

Directions to “ MRS. DANICA BEAULAC COPP LICSW/MA LCSW/VA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.