Provider Demographics
NPI:1730225376
Name:CHRISTINA WOODS LCSW PLLC
Entity type:Organization
Organization Name:CHRISTINA WOODS LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:K
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:540-361-1844
Mailing Address - Street 1:713 WESTWOOD OFFICE PARK
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-5115
Mailing Address - Country:US
Mailing Address - Phone:540-361-1844
Mailing Address - Fax:540-361-1874
Practice Address - Street 1:713 WESTWOOD OFFICE PARK
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5115
Practice Address - Country:US
Practice Address - Phone:540-361-1844
Practice Address - Fax:540-361-1874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA267478OtherVA BC/BS
VA456108OtherVALUE OPTIONS
VA2003470OtherCIGNA
VA2165041OtherUNITED HEALTHCARE
VA00X374C01Medicare PIN