Provider Demographics
NPI:1194726794
Name:CIPRIANO, ERIC DANIEL (LCSW)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:DANIEL
Last Name:CIPRIANO
Suffix:
Gender:M
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:PO BOX 2463
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23692-5463
Mailing Address - Country:US
Mailing Address - Phone:915-203-7487
Mailing Address - Fax:
Practice Address - Street 1:4000 ARLINGTON BLVD, FOREIGN SERVICE INSTITUTE
Practice Address - Street 2:FSI/TC/CEFAR
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-2220
Practice Address - Country:US
Practice Address - Phone:703-746-2937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
KS1897104100000X
TX299831041C0700X
VA1401142966376K00000X
VA09040102181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No376K00000XNursing Service Related ProvidersNurse's Aide