IndividualActive
Angela Gannon, LCSW
NPI 1063751782 · Clinical Social Worker · Annandale, VA
Provider details
- NPI number
- 1063751782
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 1647 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
7010 Braddock Rd
Annandale, VA 22003-6006
Phone: (703) 941-8810
Fax: (703) 658-2378
Approximate (ZIP-level) locationGet directions
Mailing address
7010 Braddock Rd
Annandale, VA 22003-6006
Registry dates
- Enumerated
- 2013-02-01
- Last updated
- 2013-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.