Provider Demographics
NPI:1902106081
Name:MAJOR, MAKEYSHIA KIMYATTA (LCSW)
Entity Type:Individual
Prefix:
First Name:MAKEYSHIA
Middle Name:KIMYATTA
Last Name:MAJOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2501 HUNTER PL
Mailing Address - Street 2:STE 201
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-3940
Mailing Address - Country:US
Mailing Address - Phone:571-989-2284
Mailing Address - Fax:571-526-5981
Practice Address - Street 1:2501 HUNTER PL
Practice Address - Street 2:STE 201
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-3940
Practice Address - Country:US
Practice Address - Phone:571-989-2284
Practice Address - Fax:571-526-5981
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-24
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VAW20118931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical