Most Relevant Information
Provider Data
| NPI Number: | 1003419615 |
| Provider Name: | CELESTE CARMODY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 0904004324 |
Most Important Dates
| Enumeration Date: | 11/17/2020 |
| Last Updated: | 11/17/2020 |
Provider Practice Location
9228 GEORGE WASHINGTON MEMORIAL HWY
GLOUCESTER
VA
230614162
Practice Location Phone/Fax
| Phone: | 8046935057 |
| Fax: | 8046958122 |
Provider Mailing Location
9228 GEORGE WASHINGTON MEMORIAL HWY
GLOUCESTER
VA
230614162
Provider Mailing Phone/Fax
| Phone: | 8046958120 |
| Fax: | 8046958122 |