Provider Demographics
NPI:1750459368
Name:ARMSTRONG, CAROLYN FARRISEE (LCSW, LSATP)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:FARRISEE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LCSW, LSATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8491 MIDDLE RUN DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-2222
Mailing Address - Country:US
Mailing Address - Phone:703-455-5239
Mailing Address - Fax:703-704-6795
Practice Address - Street 1:8350 RICHMOND HWY
Practice Address - Street 2:SUITE 515
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2300
Practice Address - Country:US
Practice Address - Phone:703-704-6491
Practice Address - Fax:703-704-6795
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000142101YA0400X
VA09040029811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical