Provider Demographics
NPI:1801877154
Name:CELLI, BARBARA ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:CELLI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:BARBARA
Other - Middle Name:ANN
Other - Last Name:RICHARDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:10103 CUTTER DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4515
Mailing Address - Country:US
Mailing Address - Phone:804-560-0269
Mailing Address - Fax:804-734-9188
Practice Address - Street 1:700 24TH ST
Practice Address - Street 2:USAMEDDAC KAHC
Practice Address - City:FORT LEE
Practice Address - State:VA
Practice Address - Zip Code:23801-1716
Practice Address - Country:US
Practice Address - Phone:804-734-9295
Practice Address - Fax:804-734-9016
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040025331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical