Provider Demographics
NPI:1649454794
Name:TOZIER, LAURA E (LCSW)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:E
Last Name:TOZIER
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 1:8850 RICHMOND HWY
Mailing Address - Street 2:2ND FLOOR MT. VERNON C.M.H.
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309
Mailing Address - Country:US
Mailing Address - Phone:703-704-7004
Mailing Address - Fax:703-799-1053
Practice Address - Street 1:8850 RICHMOND HWY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309
Practice Address - Country:US
Practice Address - Phone:703-704-7004
Practice Address - Fax:703-799-1053
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040047971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical