Provider Demographics
NPI:1750462537
Name:MEADOWS, EMILY D (LCSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:D
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 E DAVIS ST
Mailing Address - Street 2:STE 310
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-3001
Mailing Address - Country:US
Mailing Address - Phone:540-825-2788
Mailing Address - Fax:540-825-1244
Practice Address - Street 1:219 E DAVIS ST
Practice Address - Street 2:STE 310
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3001
Practice Address - Country:US
Practice Address - Phone:540-825-2788
Practice Address - Fax:540-825-1244
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040011231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA085157OtherSENTARA
VA5299217OtherAETNA
VA256396OtherANTHEM