Provider Demographics
NPI:1659307767
Name:NAAS, JOHN W (LCSW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:W
Last Name:NAAS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 N. BEAUREGARD ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-1715
Mailing Address - Country:US
Mailing Address - Phone:703-575-8101
Mailing Address - Fax:
Practice Address - Street 1:1500 N. BEAUREGARD ST.
Practice Address - Street 2:SUITE 240
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-1715
Practice Address - Country:US
Practice Address - Phone:703-575-8101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0940016991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008927880Medicaid
R24883Medicare UPIN
VA800002844Medicare PIN
VA008927880Medicaid