Provider Demographics
NPI:1912203803
Name:CUEBAS, ANN THERESA (LICSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:THERESA
Last Name:CUEBAS
Suffix:
Gender:F
Credentials:LICSW, LCSW
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:THERESA
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW, LCSW
Mailing Address - Street 1:5415 INVERCHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22151-2019
Mailing Address - Country:US
Mailing Address - Phone:202-319-2257
Mailing Address - Fax:202-332-5442
Practice Address - Street 1:1419 COLUMBIA RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-4705
Practice Address - Country:US
Practice Address - Phone:202-319-2257
Practice Address - Fax:202-332-5442
Is Sole Proprietor?:No
Enumeration Date:2011-02-10
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040085141041C0700X
DCLC500788121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical