Provider Demographics
NPI:1861825721
Name:CHAUDHRY, KAREN NESBIT (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:NESBIT
Last Name:CHAUDHRY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5978 SEABRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1738
Mailing Address - Country:US
Mailing Address - Phone:703-644-0947
Mailing Address - Fax:
Practice Address - Street 1:8500 EXECUTIVE AVENUE
Practice Address - Street 2:SUITE 204
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22301
Practice Address - Country:US
Practice Address - Phone:703-876-8480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040083211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical