Green, Alissa Dodge

Green, Alissa Dodge is an sole proprietor health care provider with primary practice located at 8270 Willow Oaks Corporate Dr , Fairfax VA 22031. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Green, Alissa Dodge can be contacted via phone (571) 423-4900.

Contact Information

Primary practice address
8270 Willow Oaks Corporate Dr Fairfax VA 22031
Phone: (571) 423-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904008562 Virginia
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1326699000
LBN Legal business name Green, Alissa Dodge
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2019
Last updated Sep 8th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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