Provider Demographics
NPI:1619304508
Name:GEEL, ANNEKE (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:ANNEKE
Middle Name:
Last Name:GEEL
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 N POINT DR
Mailing Address - Street 2:#104
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20194-2109
Mailing Address - Country:US
Mailing Address - Phone:206-595-9957
Mailing Address - Fax:
Practice Address - Street 1:717 PRINCESS ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2221
Practice Address - Country:US
Practice Address - Phone:703-935-0058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-09
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040083231041C0700X
WALW 602371661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical