Doctor Name: | DIANA H. O'BRIEN |
NPI Number: | 1033251897 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 0904005203 |
Business Practice Address: | 5675 Stone Rd Suite 300 Centreville, VA - 201201667 |
Business Phone Number: | 7039305498 |
Business Fax Number: | 7038189355 |
Mailing Address: | 5675 Stone Rd, Suite 300 CENTREVILLE |
State: | VA |
Postal Code: | 201201667 |
Phone Number: | 7039305498 |
Fax Number: | 7038189355 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904005203 |
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 |