Provider Demographics
NPI:1447545868
Name:SENSEMANLCSW, JEAN (LCSW)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:SENSEMANLCSW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 EMERSON AVE
Mailing Address - Street 2:GO4
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-5747
Mailing Address - Country:US
Mailing Address - Phone:703-356-0760
Mailing Address - Fax:
Practice Address - Street 1:1450 EMERSON AVE
Practice Address - Street 2:GO4
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-5747
Practice Address - Country:US
Practice Address - Phone:703-356-0760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040015801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical