Provider Demographics
NPI:1841856127
Name:PINA, MARIA PILAR (LMSW)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:PILAR
Last Name:PINA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 MOUNT VERNON AVE # 137
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22301-1328
Mailing Address - Country:US
Mailing Address - Phone:718-974-7037
Mailing Address - Fax:
Practice Address - Street 1:950 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-1534
Practice Address - Country:US
Practice Address - Phone:718-974-7037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09030023631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical