Provider Demographics
NPI:1124636162
Name:DUFFY, SARAH ANN (LCSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:DUFFY
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 1:6823 FLOYD AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-2455
Mailing Address - Country:US
Mailing Address - Phone:703-231-8772
Mailing Address - Fax:
Practice Address - Street 1:6300 STEVENSON AVE BLDG SUITEB
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-3576
Practice Address - Country:US
Practice Address - Phone:703-935-0058
Practice Address - Fax:703-935-0057
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040120151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical