| Doctor Name: | MR. C MICHAEL FIRMIN |
| NPI Number: | 1174614606 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW,BCD |
| License Number: | 904 111 |
| Business Practice Address: | 8987 Cotswold Dr Burke, VA - 220151601 |
| Business Phone Number: | 7034250340 |
| Business Fax Number: | 7037643068 |
| Mailing Address: | 8987 Cotswold Dr, BURKE |
| State: | VA |
| Postal Code: | 220151601 |
| Phone Number: | 7034250340 |
| Fax Number: | 7037643068 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 904 111 |
| 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 |