Nicole Lawanda Anderson, LPC
Individual provider Active NPI Clinical Psychologist · Alexandria, VA
NPI 1063559862 · NPPES record last updated Apr 8, 2024
Key facts
- NPI
- 1063559862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0701003974 (VA)
- Practice address
- 5808 Woodlawn Green CT Apt B
Alexandria, VA 22309-4629 - Phone
- (571) 241-7639
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0701003974 | VA | Yes |
Addresses
Primary practice location
5808 Woodlawn Green CT Apt B
Alexandria, VA 22309-4629
Mailing address
5808 Woodlawn Green CT Apt B
Alexandria, VA 22309-4629
Phone (571) 241-7639
Other providers in Alexandria, VA
- Amy B Anderson
- David Carlson Anderson
- David John Anderson
- Elizabeth P. Anderson
- Nedra Ann Anderson
- Rudolph Clinton Anderson Jr.
- Vera M. Ando-Winstead
- Nicholas J Andolina
- Moheb S Andrawis
- Tabitha E Andre
All providers in Alexandria, VA · Clinical Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.