Provider Demographics
NPI:1043861511
Name:BAILEY, BRITTANY (LCSW)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43130 AMBERWOOD PLZ STE 140
Mailing Address - Street 2:
Mailing Address - City:SOUTH RIDING
Mailing Address - State:VA
Mailing Address - Zip Code:20152-4107
Mailing Address - Country:US
Mailing Address - Phone:703-348-0030
Mailing Address - Fax:703-542-7770
Practice Address - Street 1:43130 AMBERWOOD PLZ STE 140
Practice Address - Street 2:
Practice Address - City:SOUTH RIDING
Practice Address - State:VA
Practice Address - Zip Code:20152-4107
Practice Address - Country:US
Practice Address - Phone:703-348-0030
Practice Address - Fax:703-542-7770
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-25
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040112811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical