Provider Demographics
NPI:1265302152
Name:ALANIZ, EDUARDO (LMSW)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:
Last Name:ALANIZ
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 GORDON BLVD APT 306
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2503
Mailing Address - Country:US
Mailing Address - Phone:919-210-7661
Mailing Address - Fax:984-355-1595
Practice Address - Street 1:2510 HUNTER PL STE 101
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-3938
Practice Address - Country:US
Practice Address - Phone:202-906-0843
Practice Address - Fax:571-477-2275
Is Sole Proprietor?:No
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0903004326104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker