MRS. IVY TILLMAN LOMAX LCSW
NPI 1114589991
Social Worker - Clinical in Woodbridge, VA

Active since July 02, 2019
12890 HARBOR DRIVE, WOODBRIDGE, VA 22192(571) 316-1059 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2025, Jul 2, 2019 (2 updates tracked since 2019).

About Mrs. Ivy Tillman Lomax Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. IVY TILLMAN LOMAX LCSW (NPI 1114589991) is an individual clinical provider in Woodbridge, Virginia, licensed in Virginia (0904008045) and active in the NPI registry since July 2019.Information from the official NPPES registry record, last updated June 2, 2025.

NPPES Registry Identity

NPI1114589991
Entity TypeIndividualFemale
Provider Legal NameMRS. IVY TILLMAN LOMAXCredential: LCSW
Location Address12890 HARBOR DRIVEWoodbridge, VA 22192
Mailing Address5559 Sherry CtWoodbridge, VA 22193 · (571) 316-1059
Sole ProprietorYes
Enumeration DateJuly 2, 2019
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPI 1114589991 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Social Worker · Clinical

Taxonomy 1041C0700X · Behavioral Health & Social Service Providers

Licensed in VA · 0904008045

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised… Show more

12890 HARBOR DRIVE, Woodbridge, VA 22192

Also on File with NPPES

Other Names1
Ms. Ivy Denise Tillman Lcsw (Former Name (1))

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
12890 HARBOR DRIVE
WOODBRIDGE, VA 22192

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114589991, enumerated as an "individual" on July 02, 2019.

The provider is located at 12890 HARBOR DRIVE WOODBRIDGE, VA 22192 and the phone number is (571) 316-1059.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.