Provider Demographics
NPI:1790842953
Name:WOOD, ANNGIA MARIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ANNGIA
Middle Name:MARIE
Last Name:WOOD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ANNGIA
Other - Middle Name:MARIE
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6816 PERRY PENNEY DR
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3561
Mailing Address - Country:US
Mailing Address - Phone:703-598-0217
Mailing Address - Fax:
Practice Address - Street 1:6816 PERRY PENNEY DR
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3561
Practice Address - Country:US
Practice Address - Phone:703-598-0217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2012-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500777211041C0700X
VA09040049251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical