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NPI Code Detail

MEDICARE: WHITNEY MARRIS LCSW

MEDICARE:   WHITNEY  MARRIS  LCSW
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
11041C0700XClinical Social Worker0903003104VA
21041C0700XClinical Social Worker0904025226VA
31041C0700XClinical Social Worker0904015226VA

General Provider Information

NPI Number : 1649872235
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY MARRIS LCSW
Provider Business Mailing Address
First Line : 211 N UNION ST STE 150
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-2643
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 211 N UNION ST STE 150
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-2643
Country : US
Telephone Number : 703-261-4777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2020
Last Update Date : 07/29/2025

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Directions to “ WHITNEY MARRIS LCSW” Practice Location

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