Provider Demographics
NPI:1336327709
Name:LOPEZ, BARBARA ANNEKE (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANNEKE
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:ANNEKE
Other - Last Name:KLEIN ESSINK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7724 TEA TABLE DR
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-4707
Mailing Address - Country:US
Mailing Address - Phone:703-869-2270
Mailing Address - Fax:703-550-5185
Practice Address - Street 1:7724 TEA TABLE DR
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-4707
Practice Address - Country:US
Practice Address - Phone:703-869-2270
Practice Address - Fax:703-550-5185
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040025691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical