Provider Demographics
NPI:1679280531
Name:HARRIGAN, JANINE N (LCSW, LICSW, LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:JANINE
Middle Name:N
Last Name:HARRIGAN
Suffix:
Gender:F
Credentials:LCSW, LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8983 HERSAND DR STE 2
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-1690
Mailing Address - Country:US
Mailing Address - Phone:703-658-7103
Mailing Address - Fax:
Practice Address - Street 1:8983 HERSAND DR STE 2
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-1690
Practice Address - Country:US
Practice Address - Phone:703-658-7103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500796371041C0700X
MD187981041C0700X
VA09040083441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical