Individual
MARIA ALICIA PITARQUE HEISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3613 CHAIN BRIDGE RD STE D, FAIRFAX, VA 22030-3238
(703) 397-8163
Mailing address
2709 VIKING DR, HERNDON, VA 20171-2412
(703) 216-4113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0903001692
VA
1041C0700X
Clinical Social Worker
Primary
0903001692
VA
1041S0200X
School Social Worker
Primary
PGP-0652687
VA
Other
Enumeration date
11/10/2021
Last updated
04/15/2026
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