Individual
CAROLINE ELIZABETH PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6207 OLD KEENE MILL CT, SPRINGFIELD, VA 22152-2352
(202) 360-1113
Mailing address
6207 OLD KEENE MILL CT, SPRINGFIELD, VA 22152-2352
(202) 360-1113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
PPS-0602023
VA
1041S0200X
School Social Worker
—
—
Other
Enumeration date
04/16/2018
Last updated
04/27/2026
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