Provider Demographics
NPI:1982754354
Name:FISCHER, WENDY C (LCSW)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:C
Last Name:FISCHER
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 1:6610 SANDOVER CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-2934
Mailing Address - Country:US
Mailing Address - Phone:703-866-4565
Mailing Address - Fax:703-866-9059
Practice Address - Street 1:101 S WHITING ST STE 202
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-3416
Practice Address - Country:US
Practice Address - Phone:703-866-4565
Practice Address - Fax:703-866-9059
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040007731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical