Provider Demographics
NPI:1760629257
Name:ACCESS & INCLUSION, INC.
Entity Type:Organization
Organization Name:ACCESS & INCLUSION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:NORDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-765-6646
Mailing Address - Street 1:7912 NEW MARKET RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22308-1434
Mailing Address - Country:US
Mailing Address - Phone:703-765-6646
Mailing Address - Fax:703-768-2982
Practice Address - Street 1:7912 NEW MARKET RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22308-1434
Practice Address - Country:US
Practice Address - Phone:703-765-6646
Practice Address - Fax:703-768-2982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101354949Medicaid
VA0102505796Medicaid