Individual
CLARISSA A WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19 BRIAR KNOLL CT STE 1, FISHERSVILLE, VA 22939-2635
(540) 949-0955
Mailing address
PO BOX 4127, ROANOKE, VA 24015-0127
(540) 981-9394
(540) 344-7154
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002112
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143686
A TRIGON
VA
05
—
1859737
—
VA
01
—
343341
TRICARE
VA
Enumeration date
11/27/2006
Last updated
03/16/2021
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