Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Liquori Lemont Etheridge, LCSW

Individual provider Clinical Social Worker · NPI 1871849257

Liquori Lemont Etheridge, LCSW is a Clinical Social Worker in Fort Belvoir, Virginia. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

9300 Dewitt Loop
Fort Belvoir, VA 22060-5285
Phone: (571) 515-8052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C007613 (NC)

Record details

NPI number1871849257
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 3, 2012
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023

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