Individual
CARROLL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
443 CARLISLE DR STE B, HERNDON, VA 20170-5623
(703) 775-4102
Mailing address
443 CARLISLE DR STE B, HERNDON, VA 20170-5623
(703) 775-4102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009426
VA
Other
Enumeration date
08/09/2019
Last updated
12/05/2025
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