MEDICARE: MS. FELICEA C. MEYER-DELOATCH 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
1	1041C0700X	Clinical Social Worker	0904008028	VA

General Provider Information

NPI Number	:	1700223443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FELICEA C. MEYER-DELOATCH LCSW

Provider Business Mailing Address
First Line	:	8749 FLOWERING DOGWOOD LN
Second Line	:
City	:	LORTON
State	:	VA
Zip	:	22079-5603
Country	:	US
Telephone Number	:	703-909-1072
Fax Number	:	703-690-0674

Provider Business Practice Location Address
First Line	:	7686 RICHMOND HWY STE 201C
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-2800
Country	:	US
Telephone Number	:	703-901-4015
Fax Number	:

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

Provider Enumeration Date	:	06/03/2013
Last Update Date	:	08/08/2025

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