Provider Demographics
NPI:1972939056
Name:MCMANUS, VIRGINIA LESLIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:LESLIE
Last Name:MCMANUS
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 1:1506 WILLOW LAWN DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3413
Mailing Address - Country:US
Mailing Address - Phone:804-282-4369
Mailing Address - Fax:
Practice Address - Street 1:1506 WILLOW LAWN DR
Practice Address - Street 2:SUITE 200
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3413
Practice Address - Country:US
Practice Address - Phone:804-282-4369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040005861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical