Nielsen, Connie L

Nielsen, Connie L is an individual health care provider with primary practice located at 10560 Main St Ste 410, Fairfax VA 22030-7182. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nielsen, Connie L can be contacted via phone (703) 383-0115.

Contact Information

Primary practice address
10560 Main St Ste 410 Fairfax VA 22030-7182
Fax: (703) 352-9040

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904002582 Virginia

Profile Details

NPI number 1750451266
LBN Legal business name Nielsen, Connie L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 8th, 2007 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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