LOURDES SAN PEDRO LCSW
NPI 1225385776
Social Worker - Clinical in Alexandria, VA

Q: What is Lourdes San Pedro's NPI number?

The NPI number for Lourdes San Pedro is 1225385776. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Q: What is Lourdes San Pedro's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Lourdes San Pedro was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2012

2800 EISENHOWER AVE STE 220, ALEXANDRIA, VA 22314(703) 424-9550 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2022, Aug 31, 2022, May 5, 2022 and 1 more (4 updates tracked since 2021).

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About Lourdes San Pedro Lcsw NPPES

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

LOURDES SAN PEDRO LCSW (NPI 1225385776) is an individual clinical provider in Alexandria, Virginia and active in the NPI registry since August 2012. She maintains a secondary practice location in Alexandria.

NPPES Registry Identity

NPI1225385776

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLOURDES SAN PEDROCredential: LCSW

Location Address2800 EISENHOWER AVE STE 220Alexandria, VA 22314-4587

Mailing Address5707 Lawsons Hill CtAlexandria, VA 22310-2331

Phone(703) 424-9550

Sole ProprietorYes

Enumeration DateAugust 14, 2012

Last NPPES UpdateSeptember 30, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2022

✔ NPI 1225385776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

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 experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2800 EISENHOWER AVE STE 220, Alexandria, VA 22314

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Secondary Practice Location 1

Location 15707 Lawsons Hill CtAlexandria, VA 22310-2331 · Phone (703) 424-9550

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NJB BEHAVIORAL HEALTH

Nurse Practitioner (Psychiatric/Mental Health)