Provider Demographics
NPI:1740426204
Name:JENNINGS, GERALDINE DUNN (MSW)
Entity Type:Individual
Prefix:
First Name:GERALDINE
Middle Name:DUNN
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 WILSON BLVD
Mailing Address - Street 2:230
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-5424
Mailing Address - Country:US
Mailing Address - Phone:703-807-0037
Mailing Address - Fax:703-807-0038
Practice Address - Street 1:2300 WILSON BLVD
Practice Address - Street 2:230
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-5424
Practice Address - Country:US
Practice Address - Phone:703-807-0037
Practice Address - Fax:703-807-0038
Is Sole Proprietor?:No
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD101101041C0700X
DCLC 3036201041C0700X
VA09040068761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical