Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KERRY LEDDY MALAWISTA, MSW, PH.D.
Active Sole ProprietorDR. KERRY LEDDY MALAWISTA, MSW, PH.D. is a Clinical Social Worker healthcare provider located in MC LEAN, Virginia. NPI 1407395791 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MC LEAN, VA
Registration Details
- NPI Number
- 1407395791
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2017 (9.4551196708756 yrs)
- Last Updated
- Feb 20, 2017
- Licenses
-
0904001279 (VA)5259 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6842 ELM STSUITE 104MC LEAN, VA, 221013891Browse VA providers · Browse ZIP 22101
- Phone
- 7037341100
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in MC LEAN, VA
| Name | Credential | NPI |
|---|---|---|
| TANIA PONOMARENKO | LCSW | 1306895032 |
| TANYA MARIE CLAUSEN | LCSW | 1366558926 |
| DORCAS WORLEY LUSHETSKY | LCSW | 1750492344 |
| MARK STEVEN GARDNER | LCSW | 1073604112 |
| MS. BEVERLY HOLSTUN LYNCH | LCSW | 1679697528 |
| MRS. REBECCA C HARRISON | LCSW | 1053501338 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.