Provider Demographics
NPI:1447685912
Name:PASSINO, ANGELI CARMINDA (MSSW)
Entity type:Individual
Prefix:
First Name:ANGELI
Middle Name:CARMINDA
Last Name:PASSINO
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19420 GOLF VISTA PLZ STE 350
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176-8268
Mailing Address - Country:US
Mailing Address - Phone:202-567-7343
Mailing Address - Fax:
Practice Address - Street 1:19420 GOLF VISTA PLZ STE 350
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-8268
Practice Address - Country:US
Practice Address - Phone:202-567-7343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-03
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC2000023921041C0700X
MD294491041C0700X
VA09040061801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical