Provider Demographics
NPI:1336153477
Name:ALBRIGHT, JEAN DOROTHY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JEAN
Middle Name:DOROTHY
Last Name:ALBRIGHT
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:PO BOX 2801
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22301-0801
Mailing Address - Country:US
Mailing Address - Phone:703-243-1050
Mailing Address - Fax:
Practice Address - Street 1:801 N PITT ST STE 113
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-1765
Practice Address - Country:US
Practice Address - Phone:703-243-1050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040008681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB037-0001OtherCARE FIRST, BCBS
VA7889038OtherAETNA
VA641440Medicare ID - Type Unspecified