Provider Demographics
NPI:1053686923
Name:REICHELT, BELLISA (MSW, LMSW, QMHP-A)
Entity Type:Individual
Prefix:
First Name:BELLISA
Middle Name:
Last Name:REICHELT
Suffix:
Gender:F
Credentials:MSW, LMSW, QMHP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 FAIRFAX DR UNIT 1613
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1690
Mailing Address - Country:US
Mailing Address - Phone:703-814-6117
Mailing Address - Fax:
Practice Address - Street 1:3900 FAIRFAX DR UNIT 1613
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1690
Practice Address - Country:US
Practice Address - Phone:703-814-6117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator