Provider Demographics
NPI:1740292044
Name:LOBALBO, ANDREA (LCSW LCSWC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:LOBALBO
Suffix:
Gender:F
Credentials:LCSW LCSWC
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:CASEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2023 N LEXINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3232
Mailing Address - Country:US
Mailing Address - Phone:703-596-2125
Mailing Address - Fax:
Practice Address - Street 1:405 N WASHINGTON ST STE 101
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3410
Practice Address - Country:US
Practice Address - Phone:703-596-2125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12769104100000X
VA0904006135104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker