Most Relevant Information
Provider Data
| NPI Number: | 1003561069 |
| Provider Name: | ANJA D. BLACKADAR LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 0904015022 |
Most Important Dates
| Enumeration Date: | 02/18/2022 |
| Last Updated: | 06/18/2024 |
Provider Practice Location
4850 MARK CENTER DR
ALEXANDRIA
VA
223111882
Practice Location Phone/Fax
| Phone: | 7037463400 |
| Fax: |
Provider Mailing Location
3901 WHISPERING LN
FALLS CHURCH
VA
220411113
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |