Provider Demographics
NPI:1962832741
Name:NCITEWITHN, LLC
Entity Type:Organization
Organization Name:NCITEWITHN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:FELICEA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MEYER-DELOATCH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:703-909-1072
Mailing Address - Street 1:8749 FLOWERING DOGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-5603
Mailing Address - Country:US
Mailing Address - Phone:703-909-1072
Mailing Address - Fax:703-690-0674
Practice Address - Street 1:10195 MAIN ST STE N
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-3415
Practice Address - Country:US
Practice Address - Phone:703-909-1072
Practice Address - Fax:703-690-0674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040080281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty