Provider Demographics
NPI:1891727251
Name:GELMAN, MEREDITH LINDSEY JOHNSON (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:LINDSEY JOHNSON
Last Name:GELMAN
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 1:8323 PRIVATE LN
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-4473
Mailing Address - Country:US
Mailing Address - Phone:703-426-4945
Mailing Address - Fax:
Practice Address - Street 1:243 CHURCH ST NW STE 300A
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4437
Practice Address - Country:US
Practice Address - Phone:703-463-7916
Practice Address - Fax:703-938-8393
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040035531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical