Provider Demographics
NPI:1003402991
Name:BROWN, ANA-ALICIA FARRAR (LICSW, LCSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:ANA-ALICIA
Middle Name:FARRAR
Last Name:BROWN
Suffix:
Gender:F
Credentials:LICSW, LCSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15000 POTOMAC TOWN PLACE
Mailing Address - Street 2:SUITE 100 #149
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-4123
Mailing Address - Country:US
Mailing Address - Phone:336-926-7476
Mailing Address - Fax:
Practice Address - Street 1:2700 NEABSCO COMMON PLACE SUITE 101
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191
Practice Address - Country:US
Practice Address - Phone:571-412-1006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD303151041C0700X
DCLC2000018791041C0700X
VA09040144141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical