Provider Demographics
NPI:1982795340
Name:OWENS, PATRICIA DOLORES (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:DOLORES
Last Name:OWENS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:DOLORES
Other - Last Name:CARUANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:210 PARK TERRACE COURT
Mailing Address - Street 2:NO 64
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180
Mailing Address - Country:US
Mailing Address - Phone:703-255-2990
Mailing Address - Fax:
Practice Address - Street 1:8119 HOLLAND ROAD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306
Practice Address - Country:US
Practice Address - Phone:703-799-2756
Practice Address - Fax:703-360-0899
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040026531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical