| Mary Lou Fahey, LCSW | |
|
7969 Ashton Ave, Manassas, VA 20109-2885 | |
| (703) 792-7800 | |
| (703) 792-5699 |
| Full Name | Mary Lou Fahey |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 7969 Ashton Ave, Manassas, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063537595 | NPI | - | NPPES |
| 292737 | Other | VA | AMERIGROUP |
| 4945247 | Medicaid | VA | |
| 245421 | Other | VA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904004560 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lou Fahey, LCSW 7969 Ashton Ave, Manassas, VA 20109-2885 Ph: (703) 792-7800 | Mary Lou Fahey, LCSW 7969 Ashton Ave, Manassas, VA 20109-2885 Ph: (703) 792-7800 |
Mrs. Cynthia Rebecca Lane-hand, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
Ms. Linda Diana Malone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10530 Linden Lake Plz, 200, Manassas, VA 20109 Phone: 703-392-6707 | |
Kelly Terry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10535 Crestwood Dr, Suite 201, Manassas, VA 20109 Phone: 703-492-2686 | |
Jacquelyn Marie Brannock, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
Gia Thi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7982 Donegan Drive, Manassas, VA 20109 Phone: 571-723-9461 | |
Therese Mcdermott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8644 Sudley Rd Ste 315, Manassas, VA 20110 Phone: 703-369-8055 |