Individual
MS. MARIANNE REDMOND LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12200 AMOS LN, FREDERICKSBURG, VA 22407-7107
(703) 862-5679
Mailing address
43 TOWN AND COUNTRY DR, SUITE #143, FREDERICKSBURG, VA 22405-8729
(703) 862-5679
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904004604
VA
1041C0700X
Clinical Social Worker
ISW03932
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087841
SENTARA
—
01
—
212387
SOUTHEAST
VA
01
—
350821000
MAGELLAN
—
01
—
3878
CAREFIRST BC
—
01
—
441745
ANTHEM BC
—
01
—
468354
VALUE OPTIONS
—
01
—
512389
NCPPO
—
01
—
730S414
AETNA
—
05
—
8937621
—
VA
Enumeration date
09/14/2006
Last updated
01/13/2026
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