Provider Demographics
NPI:1396938726
Name:NEUMAIER-FARNSWORTH, GABRIELE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:GABRIELE
Middle Name:
Last Name:NEUMAIER-FARNSWORTH
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:P.O. BOX 166
Mailing Address - Street 2:
Mailing Address - City:DOSWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23047
Mailing Address - Country:US
Mailing Address - Phone:540-226-5586
Mailing Address - Fax:804-994-2310
Practice Address - Street 1:150 OLDE GREENWICH DR., STE. 204
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408
Practice Address - Country:US
Practice Address - Phone:540-226-5586
Practice Address - Fax:804-994-2310
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040043201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA190000943Medicare UPIN