| Laurie A. Weiss-braunstein, Lcsw,llc | |
|
5675 Stone Rd Suite 210 Centreville VA 20120-1667 | |
| (703) 447-8056 | |
| Not Available |
| Full Name | Laurie A. Weiss-braunstein, Lcsw,llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5675 Stone Rd, Centreville, Virginia |
| Authorized Official Name and Position | Laurie Ann Weiss-braunstein (SOCIAL WORKER) |
| Authorized Official Contact | 7034478056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie A. Weiss-braunstein, Lcsw,llc 14345 Brookmere Dr Centreville VA 20120-4106 Ph: (703) 447-8056 | Laurie A. Weiss-braunstein, Lcsw,llc 5675 Stone Rd Suite 210 Centreville VA 20120-1667 Ph: (703) 447-8056 |
| NPI Number | 1609296078 |
|---|---|
| Provider Enumeration Date | 04/23/2014 |
| Last Update Date | 04/23/2014 |
| Medicare PECOS PAC ID | 5193948727 |
|---|---|
| Medicare Enrollment ID | O20160302000793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609296078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0904004475 (Virginia) | Primary |
| Provider Name | Laurie A Weiss-braunstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215227400 PECOS PAC ID: 9537324595 Enrollment ID: I20160302001055 |
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