Provider Demographics
NPI:1700569431
Name:CHEYFITZ, AMY JULIA (LICSW, LCSW)
Entity type:Individual
Prefix:
First Name:AMY JULIA
Middle Name:
Last Name:CHEYFITZ
Suffix:
Gender:F
Credentials:LICSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8647 RICHMOND HWY STE 606
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-4206
Mailing Address - Country:US
Mailing Address - Phone:646-207-7367
Mailing Address - Fax:
Practice Address - Street 1:8549 RICHMOND HWY APT 303
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-8549
Practice Address - Country:US
Practice Address - Phone:646-207-7367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040152961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical