Individual
MS. JUDITH ANN CORNECELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LCSW,
Contact information
Practice address
3340 WOODBURN RD, ANNANDALE, VA 22003-1202
(703) 207-6986
(703) 280-9518
Mailing address
2725 CONNECTICUT AVE NW, #307, WASHINGTON, DC 20008-5300
(202) 234-5278
(703) 280-9518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904002678
VA
1041C0700X
Clinical Social Worker
Primary
LC303484
DC
163W00000X
Registered Nurse
0001104021
VA
Other
Enumeration date
08/19/2006
Last updated
09/11/2025
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