Provider Demographics
NPI:1518023787
Name:SANDIFORD, MARY FRANCES (LCSW, ACSW)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:FRANCES
Last Name:SANDIFORD
Suffix:
Gender:F
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3104 WINDSONG DR
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-1833
Mailing Address - Country:US
Mailing Address - Phone:703-915-5535
Mailing Address - Fax:
Practice Address - Street 1:3104 WINDSONG DR
Practice Address - Street 2:
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-1833
Practice Address - Country:US
Practice Address - Phone:703-915-5535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040013121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical