Doctor Name: | BRITTANY LUTZ |
NPI Number: | 1003207127 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W |
License Number: | 0904008867 |
Business Practice Address: | 402 Maple Ave W Vienna, VA - 221804223 |
Business Phone Number: | 7032557012 |
Business Fax Number: | |
Mailing Address: | 402 Maple Ave W, VIENNA |
State: | VA |
Postal Code: | 221804223 |
Phone Number: | 7032557012 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2015 |
NPI Last Update Date: | 02/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904008867 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |