Provider Demographics
NPI:1497401269
Name:DENNY, ADELE S (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ADELE
Middle Name:S
Last Name:DENNY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10615 JUDICIAL DR STE 301
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-7501
Mailing Address - Country:US
Mailing Address - Phone:703-667-0752
Mailing Address - Fax:
Practice Address - Street 1:1085 SAFA ST
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-2345
Practice Address - Country:US
Practice Address - Phone:571-318-4636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040020011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical