Provider Demographics
NPI:1548587330
Name:MCLEOD, ANDREA DRIGGS (LICSW)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:DRIGGS
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MRS
Other - First Name:ANDREA
Other - Middle Name:DRIGGS
Other - Last Name:MCLEOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:8626 LEE HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2135
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8626 LEE HWY # 3200
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2135
Practice Address - Country:US
Practice Address - Phone:513-312-8609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040083331041C0700X
DCLC500789881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical