NPI

Lisa Anne Eidelkind

NPI 1962803809

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
LCSW
Type
Individual
Enumeration date
2014-09-10
Last updated
2014-09-10

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Specialties

Licenses

License VA
0904003786

Location

Practice location
9127 Wood Pointe Way
City
Fairfax Station VA
Postal code
22039-3069
Phone
(703) 867-7221

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Fairfax Station, VA. 100 records in the public file.

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